Danish version of “Emergency Treatment of the Hypokalemic Paralytic Attack” Første skridt: 1. Åndedræts- eller hjerteanfald er mulige 2. Tjek hjerte og vejrtrækning – dilatation i hjertet kan forårsage høj puls og lavt blodtryk. 3. Foretag måling af hjerterytme/EKG. 4. Mål elektrolytter for at bestemme serum K+ 5. Giv ilt – blodprøve fra fingeren afspejler…
Provided by Frank Lehmann-Horn MD, PhD From: Lehmann-Horn F, Rüdel R, Jurkat-Rott K. Chapter 46: Nondystrophic myotonias and periodic paralyses. In: Myology, edited by AG Engel, C Franzini-Armstrong. McGraw-Hill, New York, 3rd edition, 2004, pp. 1257-1300. and Klingler W, Lehmann-Horn, Jurkat-Rott K. Complications of anesthesia in neuromuscular disorders. Neuromuscular Disord, 15:195-206, 2005. In patients with…
Paralytic attacks of Hypokalemic Periodic Paralysis can cause cardiac and/or respiratory distress or arrest. Patients may become unable to cough and may choke on their own secretions or on vomit. Attacks of profound paralysis or ones in which there is cardiac or respiratory distress require immediate emergency medical attention. First Actions: Monitoring Measure serum K+…
Submitted by deb on Sat, 06/25/2011 – 20:31 First Actions: Paralytic attacks of Hypokalemic Periodic Paralysis can cause cardiac and/or respiratory distress or arrest. Patients may become unable to cough and may choke on their own secretions or on vomit. Attacks of profound paralysis or ones in which there is cardiac or respiratory distress require immediate emergency…
Submitted by deb on Mon, 06/27/2011 – 04:39 The regular colonoscopy prep can cause a hypokalemic episode in a patient with hypokalemic periodic paralysis. This colonoscopy prep, adapted to avoid hypokalemia, has been used by numerous patients with HypoKPP on the HKPP Listserv without provoking an episode afterwards. Colonoscopy Prep: Day 1 Normal diet with an herbal tea…
Submitted by deb on Fri, 03/01/2013 – 17:49 Severe respiratory phenotype caused by a de novo Arg528Gly mutation in the CACNA1S gene in a patient with hypokalemic periodic paralysis. Authors Kil TH, et al. Journal: Eur J Paediatr Neurol. 2010 May;14(3):278-81. doi: 10.1016/j.ejpn.2009.08.004. Epub 2009 Oct 12. Affiliation: Department of Pediatrics, College of Medicine, Konyang University, 685…
Submitted by deb on Mon, 05/19/2014 – 21:40 Akut behandling af et hypokalemisk paralytisk anfald Første skridt:1. Åndedræts- eller hjerteanfald er mulige2. Tjek hjerte og vejrtrækning – dilatation i hjertet kan forårsage høj puls og lavt blodtryk.3. Foretag måling af hjerterytme/EKG.4. Mål elektrolytter for at bestemme serum K+5. Giv ilt – blodprøve fra fingeren afspejler måske ikke…
Submitted by deb on Thu, 06/21/2012 – 16:31 1) Patient has “attacks” of weakness and/or floppy paralysis. 2) First attacks occur by the age of 16 in 65% of patients. 3) Attacks follow triggering events (vigorous exercise, intense stress, fright) or a meal high in carbohydrate and/or sodium (baked goods, pizza, Chinese food, sugar-sweetened soda, beer, etc.)….
Submitted by deb on Mon, 09/18/2017 – 22:19 Hypokalemic periodic paralysis (HypoKPP) is one of the primary forms of periodic paralysis, caused by one or more mutations in the calcium, sodium or potassium ion channels in muscle membrane. Features of Hypokalemic Periodic Paralysis There are two forms of HypoKPP, a paralytic form and a myopathic form. The paralytic…
Submitted by deb on Mon, 06/27/2011 – 02:22 Hao Cheng, MD The use of local anaesthetics on patients with periodic paralysis presents some unusual challenges. Many patients report that these agents trigger weakness or paralysis, a phenomenon which is substantiated in medical literature. Some patients also report that the agents do not produce the desired anaesthesia. The…