Quote from RaeT,RN
She had had like 4 or 5 loose stools the day before, but not severe diarrhea, and some vomiting. I have never seen K+ that low, not even in The Units when I was in nursing school. We are not equiped for tele in our rooms (only in recovery), so we got her an EKG, which showed some PVC's and something about the S-T segment I can't remember. I was sure she was going to code on me. Fortunately she did not. The thing I thought was so odd was that with her first pregnancy she said she had "potassium issues" (also said she had uncontrollable N/V). A cardiologist followed her afterwards and the issue eventually resolved itself. Her prenatal record offered us no clues. Have you heard of anything like this before?
Yes, I have had several occasions with the gravida and renal issues. Especially pheochromocytoma, hyperaldosteronism, renal artery stenosis. These will usually have many B/P elevations and severe, severe hypokalemia. But, I have never had anyone with pancreatitis and a K+ level that low who was not
dehydrated from N&V and/or septic.
Yes, I have seen the K+ at 1.5, the lowest and was precode. But, it was not in a pregnancy.
I wonder if she had hyperemesisgravidarum with the first one? Also, is she alcoholic? That would explain some electrolyte issues. How about her Mg levels?