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KMID : 1812520200040010026
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Journal of Healthcare Simulation
2020 Volume.4 No. 1 p.26 ~ p.33
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Unanticipated hyperkalemia during thyroid cancer surgery
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Chang Chul-Ho
Song Hyun-Jik
Ko Sang-Min
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Abstract
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This scenario was designed to teach the diagnosis and treatment of hyperkalemia. Hyperkalemia is a life-threatening disorder, which can cause an arrhythmia that can lead to cardiac arrest. Along with identifying a change in electrocardiogram (ECG) followed by hyperkalemia, history-taking associated with hyperkalemia is important for diagnosis. There are multiple causes of hyperkalemia including chronic kidney disease, diabetes, and some medications such as renin-angiotensin-aldosterone system inhibitors and nonsteroidal anti-inflammatory drugs. The most important thing is to make a differential diagnosis and provide proper treatment immediately.
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KEYWORD
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Anesthesia, Hyperkalemia, Thyroid cancer surgery, Simulation training, History-taking
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