Hypokalemia after resuscitation.

  title={Hypokalemia after resuscitation.},
  author={T Maher},
  volume={250 8},
  • T. Maher
  • Published 26 August 1983
  • Biology, Medicine
  • JAMA
To the Editor.— The recent article by Thompson and Cobb in the Dec 3, 1982, issue ofThe Journaldescribing the frequent observation of hypokalemia ([K + ] ≤3.6 mEq/L) following resuscitation from ventricular fibrillation was most interesting. The authors were probably correct in their assumption that the observed decrement in serum potassium concentration was too rapid to be attributable to renal or gastrointestinal losses. Presumably, transcellular shift of potassium from the extracellular to… 


Correction of hyperkalemia by bicarbonate despite constant blood pH.
Bicarbonate lowers plasma potassium, independent of its effect on blood pH, and despite a risk of volume overload, should be used to treat hyperkalemia in compensated acid-base disorders, even in the presence of renal failure.