Hyperkalemia
Elevation of potassium level in the
blood.
Immediate Questions
A. Is the lab result correct? Consider
pseudohyperkalemia, especially if the ECG shows
no changes of hyperkalemia. There are a number of
causes of factitious hyperkalemia, the most
common being the tourniquet method of drawing
blood. A tight tourniquet around an extremity can
elevate the potassium. Hemolysis of a blood sample
prior to the chemical determination is another
source of error. Extreme leukocytosis (>70,000) or
thrombocytosis (>1,000,000) can elevate the serum
potassium. If there is a question, obtain a plasma
potassium.
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