The use potassium salts in patients receiving diuretics lor uncomplicated essential hypertension often unnecessary when such patients have a normal dietary pattern.
Serum potassium should checked periodically, however hypokalemia occurs, dietary supplementation with potassium-containing foods may adequate control milder cases In more severe cases supplementation with potassium salts may indicated CONTRAINDICATIONS Potassium supplements are contraindicated in patients with hyperkalemia since a further increase in serum potassium concentration in such patients can produce cardiac arrest Hyperkalemia may complicate any the following conditions Chronic renal failure, systemic acidosis such as diabetic acidosis, acute dehydration, extensive tissue breakdown as in severe burns adrenal insufficiency, or the administration a potassium-sparing diuretic spironolactone Wax-matrix potassium chloride preparations have produced esophageal ulceration in certain cardiac patients with esophageal compression due enlarged left atrium All solid dosage forms potassium chloride supplements are contraindicated in any patient in whom there cause for arrest or delay in tablet passage through the gastrointestinal tract In these instances, potassium supplementation should with a liquid preparation. WARNINGS Hyperkalemia In patienls with impaired help me write essay mechanisms for excreting potassium, the administration potassium salts can produce hyperkalemia and cardiac arrest This occurs most commonly in patients given potassium the intravenous route but may also occur in patients given potassium orally Potentially fatal hyperkalemia can develop rapidly and asymptomatic The use potassium salts in patients with chronic renal disease, or any other condition which impairs potassium excretion, requires particularly careful monitoring the serum potassium concentration and interaction with Potassium Sparing Diuretics Hypokalemia should not treated the concomitant administration potassium salts and a polassium-sparing diuretic, spironolactone or triamterene since the simultaneous administration these agents can produce severe hyperkalemia Gastrointestinal Lesions Potassium chloride tablets have produced stenotic and or ulcerative lesions the small bowel and deaths These lesions are caused a high localized concentration potassium ion in the region a rapidly dissolving tablet, which iniures the bowel wall and thereby produces obstruction, hemorrhage or perforation K-DUR tablets contain micro-crystalloids which disperse upon disintegration the tablet These micro-crystalioids are formulated provide a controlled release potassium chloride The dispersibility the micro-crystalloids and the controlled release ions from them are intended minimize the possibility a high local concentration near the gastrointestinal mucosa and the ability the KCI cause stenosis or ulceration Other means accomplishing this incorporation potassium chloride into a wax matrix have reduced the frequency such lesions less than one per, patient years compared coursework papers per, patient years with enteric-coated potassium chloride but have not eliminated them The frequency Gl lesions with K-DUR tablets at present, unknown K-DUR tablets should discontinued immediately and the possibility bowel obstruction or perforation considered thesis writing service uk if severe vomiting, abdominal pain, distention, or gastrointestinal bleeding Metabolic Acidosis Hypokalemia in patients with metabolic acidnsis should treated with an alkalintzing potassium salt such as potassium bicarbcnate, potassium citrate, potassium acetate or PRECAUTIONS The diagnosis potassium depletion ordinarily made demonstrating hypokalemia in a patient with a clinical history suggesting some cause for potassium depletion thesis writing company In interpreting the serum potassium level, the physician should bear in mind that acute alkalosis per can produce hypokalemia in the absence a deficit in total body potassium while acute acidosis per can increase the serum potassium concentration into the normal range even in the presence a reduced total body potassium The treatment potassium depletion, particularly in the presence cardiac disease, renal disease, or acidosis requires careful attention acid-base balance and appropriate monitoring serum electrolytes, the electrocardiogram, and the clinical status the patient Laboratory Tests Regular serum potassium determinations are recommended In addition, during the treatment potassium depletion, careful attention should paid acid-base balance, other serum electrolyte levels, the electrocardiogram, and the clinical status the patient, particularly in ttie presence cardiac disease, renal disease, or acidosis Drug interaclions Potassium-sparing diuretics, Carcinogenesis, Mutagenesis. Impairment Fenilily Long-term carcinogenicity studies in Pregnancy Category C Animal reproduction studies have not been conducted with K-DUR It also not known whether K-DUR can cause felal harm when administered a pregnant woman or can affect reproduction capacity K-DUR should given a pregnant wnman nnly if clearly needed Nursing Mothers The nnrmal potassium ion content human milk about mEq per liter Since oral potassium becomes part the body potassium pool, long as body potassium not excessive, the contribution pptassium chloride supplementation should have little or no effect the Pediatric Use Safety and effectiveness in children have not been established They're talking about the educational benefits belonging the largest regional multispecialty association in the and the diversity the Annual Scientific Assembly.
They're talking about a non-political association whose only mission provide the best educational and financial benefits available They're also talking about unrivaled member benefits including the SMA Insurance Program, the Physicians Purchasing Program, the SMA Retirement Program, SMA Travel Services, Dial Access, the Southern Medical Journal and But most all, they're talking about how SMA can offer much at such a low cost. Call the SMA for more information and a membership application.
Find out why more and more physicians are joining the SMA every day. Join the SMA today. You'll talking about too! Contents Inaugural Address the President the AMA James Davis Address the President-Elect the North Carolina Medical Society Ernest Spangler A Doctor Interviews the Candidates for Governor Edward Halperin George Bush, Michael Dukakis, and Health Policy Issues Presidential Campaign Edward Halperin Heart Attack Margaret Munster and Robert Califf Return with Us Now Those Thrilling Days Yesteryear Argyrol and Argyria Ronald Mack Drug Enforcement Administration Renewal Physician Registration Eben Alexander europeanMedicalStudent Activism Donald Madison Conjoint Report the North Carolina Medical Society and the North Carolina Commission for Health. Volume For professionals, a major disability dissertation help online or illness can financial disaster replaces earnings lost because high benefit limits that replace special reduced rates for nonsmokers can only work part-time but still the ability increase your basic increases, regardless your health pays full benefits if you are unable perform the main duties your own occupation, even if you earn income from a different job or business reduce the cost your coverage. can custom design a Blue Chip protection plan keep your income An affiliate Ihe vM i AllianCC Disability insurance that keeps your income healthy Connecticut Mutual Life Insurance Company Hartford CT Dr. James Davis the first North Carolinian have the honor serving as President the european Medical Association. We publish his installation address in full because its excellent content and because signifies an important event in the history North Carolina medicine.
The comments Dr.
Louis Shaffner follow the address, and allow the reader share in the good fellowship created the installation Dr.
Speaker, officers and members the Board Trustees, delegates and alternates the House Delegates, presidents state associations, auxiliary officials and distinguished I feel privileged join the ranks predecessors who have had the opportunity serve as President the european Medical Association. As I stand here humbly, respectfully and enthusiastically accepting the challenges this office I honored in the presence this audience, the leaders european medicine. This opportunity especially meaningful because comes at a time when our profession at a zenith unprecedented accomplishments. Working with the people this country, have achieved much. Life expectancy continues lengthen. The quality life continues improve. And the public now exhibits a widespread and impressive commitment self-care and the prevention illness. The advances many decades are manifest in the decline in the incidence heart attacks and strokes, in the long and productive lives many people lead for years after a cancer diagnosis, and in the fact that infections except for AIDS are better controlled than ever before.