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Title: [Pitfall in intraoperative electrolyte management for a patient with pseudohyperkalemia caused by thrombocytosis]. Author: Nomura M, Nakasuji M, Nakamura M, Imanaka N, Tanaka M, Kawashima H. Journal: Masui; 2009 Oct; 58(10):1300-2. PubMed ID: 19860239. Abstract: An 81-year-old woman was scheduled for gastrectomy due to advanced gastric cancer. Preoperative serum potassium concentration was 6.5 mEq x l(-1), and the operation was postponed. Renal function was normal and hematopathy was denied after bone marrow biopsy. But thrombocyte was 130.5 x 10(4) x mm(-3). Plasma potassium concentration was within normal ranges, and she was diagnosed as pseudohyperkalemia caused by thrombocytosis. Difference between serum and plasma potassium concentrations was more than 1 mEq x l(-1) throughout the surgery. We should take a blood plasma sample in patients with hyperkalemia combined with thrombosis, when renal function was within normal ranges and hemolysis was denied.[Abstract] [Full Text] [Related] [New Search]