Tuesday, June 18, 2013

Q: Give at least 7 reasons of pseudo-hyperkalemia?


Answer:
  1. Excessive vacuum of the blood draw (hemolysis)
  2. A collection needle that is of too fine a gauge (hemolysis)
  3. Excessive tourniquet time or fist clenching during phelobotomy, which leads to efflux of potassium from the muscle cells.
  4. A delay in the processing of the blood specimen.
  5. Thrombocytosis (Platelet count >500,000/mm³), 
  6. Leucocytosis  (WBC count > 70 000/mm³), 
  7. Erythrocytosis (hematocrit > 55%). 

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