KMID : 0356920080540040469
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Korean Journal of Anesthesiology 2008 Volume.54 No. 4 p.469 ~ p.472
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Hyperkalemia after Cessation of Ritodrine in a Parturient during Cesarean Section - A case report -
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Kwon Ji-Sook
Lee Guie-Young Han Jong-In Chung Rack-Kyung
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Abstract
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Ritodrine hydrochloride is widely used for the treatment of premature uterine contraction because the drug has ?2-sympathomimetic effect on the uterus. Hypokalemia is one of the most common side effects of ritodrine. We experienced a case of hyperkalemia without ECG change that occurred during cesarean section in a healthy parturient, associated with low-dose ritodrine pretreatment for six and half hours to stop preterm labor. We treated the patient with potassium-free fluid and calcium chloride. Plasma potassium level returned to normal four hours after the ritodrine had been terminated.
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KEYWORD
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hyperkalemia, preterm labor, ritodrine
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