Cardiac arrest following a glucose 30% bolus: what happened?
1 HIA Ste Anne Daru, Bd Ste Anne, 83000 Toulon, France
2 HIA Ste Anne Cardiology, Bd Ste Anne, 83000 Toulon, France
Critical Care 2008, 12:401 doi:10.1186/cc6216Published: 16 January 2008
First paragraph (this article has no abstract)
A 74-year-old man was admitted with postoperative peritonitis. On day 45, a double-lumen central venous catheter was positioned in the patient's right subclavian vein. The distal lumen was used only for parenteral nutrition (2,000 ml/day Kabiven® 1600; Fresenius Kabi Brezin, France). Glucose 5% (250 ml) with 6 g potassium was infused, over 24 hours, via the proximal lumen. Hypokalemia was noted (K+, 3.0 mEq/l). An additional infusion of potassium was initiated (34 mEq in 10 ml, at 17 mEq/hour) via the proximal lumen.