Cisplatin and hypokalemia

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WebJul 15, 2015 · Alterations in serum electrolytes including hypomagnesemia, hypokalemia, hyponatremia, hypocalcemia, and hypophosphatemia have been reported in studies evaluating various doses of cisplatin. WebHypokalemia may develop with furosemide, especially with brisk diuresis, inadequate oral electrolyte intake, when cirrhosis is present, or during concomitant use of corticosteroids, ACTH, licorice in large amounts, or prolonged use of laxatives. ... There is a risk of ototoxic effects if cisplatin and furosemide are given concomitantly. In ...

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WebFirst-line multiagent chemotherapy comprises doxorubicin, cisplatin, and high-dose methotrexate (MAP regimen) . ... Regarding toxicity, rash and hypokalemia was the most common grade 3 adverse event, and one death from end organ failure was reported that was possibly related to the drug. WebJun 1, 2024 · Hypomagnesemia and hypokalemia are side effects of certain chemotherapies, including cisplatin, cetuximab, eribulin, and ifosfamide. When patients concurrently receive chemotherapy and take medications that cause hypomagnesemia or hypokalemia, electrolyte imbalances are amplified. stretch tite 3000 sq ft

Electrolyte disorders with platinum-based chemotherapy …

Web21 hours ago · The EARLY-MYO-BC trial is the first to explore the cardiac impacts of pyrotinib in the neoadjuvant setting for this patient population. Patients are currently … Webactivity of cisplatin [see Clinical Pharmacology (12.1), Clinical Studies (14)]. • Administer PEDMARK 6 hours after completion of a cisplatin infusion. • For multiday cisplatin regimens, administer PEDMARK 6 hours after completion of each cisplatin infusion and at least 10 hours before the next cisplatin infusion. Do not WebHypomagnesemia generally resolves with cessation of therapy. Cisplatin can cause increased magnesium losses by the kidneys as well as generalized decrease in kidney function. Magnesium loses can be severe and persist despite discontinuation of cisplatin. stretch tight wrap

Cisplatin nephrotoxicity - UpToDate

WebMar 24, 2024 · Case 1: A case of hyponatremia following cisplatin chemotherapy A 64 year-old man with small cell lung cancer was treated with cisplatin chemotherapy with etoposide and concurrent chest radiotherapy. Serum sodium was 137 mmol/L prior to initiation of chemotherapy. WebJul 22, 2024 · Cisplatin is a potent and valuable chemotherapy agent used to treat a broad spectrum of malignancies. Renal tubular dysfunction and a cumulative … stretch tite plastic wrap 250WebDec 9, 2024 · When hypokalemia is secondary to tumor activity, treating the cancer is necessary, in addition to symptomatic therapy for hypokalemia, in order to prevent the recurrence of symptoms. Patients with carcinoid syndrome should receive somatostatin analog in order to inhibiting hormonal hyper-secretion and improve symptoms [ 136 ] . stretch tight hips

"WebCisplatin causes hypomagnesemia in a dose-dependent fashion and affects up to 90% of patients if no preventive measures are taken (see Section 5 below). 79 The etiology of … " - Cisplatin and hypokalemia

Cisplatin and hypokalemia

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http://www.bccancer.bc.ca/chemotherapy-protocols-site/Documents/Head%20and%20Neck/HNLAPRT_Protocol.pdf WebAug 1, 2004 · Nephrotoxicity after cisplatin administration usually manifests as increased serum creatinine and blood urea nitrogen (BUN) levels, as well as electrolyte …

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Webis a major concern when prescribing cisplatin. Renal dysfunction due to cisplatin may manifest as renal insufficiency, hypokalemia and hypomagnesemia. The risk for these … WebDec 17, 2024 · Hypokalemia is defined as a serum or plasma potassium that is less than the normal value. Most reference laboratories establish the lower pediatric limit of normal …

WebSep 1, 2024 · Cisplatin for injection can cause severe hypersensitivity reactions, including anaphylaxis and death. Manifestations have included facial edema, wheezing, tachycardia, and hypotension. Hypersensitivity reactions have occurred within minutes of administration to patients with prior exposure toCisplatin for injection. WebMar 4, 2024 · He completed three cycles of neoadjuvant dose-dense methotrexate, vinblastine, doxorubicin, and cisplatin (dd-MVAC), which was complicated by multiple gastrointestinal (GI) symptoms of nausea, vomiting, resultant hypokalemia, and cytopenia, but he was able to successfully undergo definitive robot-assisted laparoscopic radical …

WebSep 26, 2024 · So a lack of magnesium can lead to low levels of both potassium and calcium. So if you have treatment-resistant hypokalemia, take a look at that magnesium level. In a lot of cases, replacing … Web8 mg PO/IV 30 to 60 minutes pre- CISplatin, then 8 mg PO/IV every 12 hours x 6 doses aprepitant . 125 mg PO 30 to 60 minutes pre-CISplatin on day 1, then 80 mg PO daily …

WebJun 2, 2024 · Background: Cisplatin-associated acute kidney injury (C-AKI) is common. Predictive factors of C-AKI include age > 60 years, hypertension, cisplatin dose, diabetes, and serum albumin < 3.5g/L. The association between C-AKI and hypokalemia, hypomagnesemia or hyponatremia has not been well characterized to date.

WebNov 24, 2024 · fast, slow, or irregular heartbeat. headache (sudden and severe) hives, itching, skin rash. inability to speak. nervousness. noisy breathing. pain or discomfort in the arms, jaw, back, or neck. pounding in the ears. puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue. stretch tightsWebis a major concern when prescribing cisplatin. Renal dysfunction due to cisplatin may manifest as renal insufficiency, hypokalemia and hypomagnesemia. The risk for these adverse effects is related to the dose and interval of cisplatin and may be minimized by adequate hydration. Geriatric patients may also be at increased risk. stretch tite plastic wrap 500WebMedications that cause RTA include Cisplatin and Amphotericin B. You may have hypokalemia from a loss of body fluids due to excessive vomiting, diarrhea, or … stretch tiresWebKey Points. When evaluating hypokalemia, use the history to explore possible losses (renal vs. GI), shifts (pH, insulin, etc.), and intake. Get a full medication history. Then use the … stretch tight shoesWebJan 12, 2024 · Hypomagnesemia is often associated with hypokalemia (due to urinary potassium wasting) and hypocalcemia (due both to lower parathyroid hormone secretion and end-organ resistance to its effect). (See "Hypomagnesemia: Clinical manifestations of magnesium depletion" .) The major causes of hypomagnesemia will be reviewed in this … stretch timeWeb• Cisplatin is a common cause of hypomagnesemia and hypokalemia due to renal magnesium (Mg) and potassium (K) losses. Magnesium plays an important role in the maintenance of intracellular K. An unrecognized and untreated Mg depletion can lead to a refractory K repletion. stretch tite wrapmasterWebMar 25, 2024 · The most common laboratory findings include: hyponatremia, hyperkalemia, and anemia [ 4 ]. Hydrocortisone is the mainstay of treatment, and fludrocortisone is added to replace mineralocorticoid deficiency. Usually, hydrocortisone doses are divided into two or three doses, with the highest dose in the morning to mimic the circadian rhythm. stretch tlumacz