Importance of History in the Management of New-Onset Hyperkalemia

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Authors: Igor Kagan, Kristine Sarmosyan, Sean Lei, Michelle S. Hwang
Cited by: 1
References: 8

Abstract

Hyperkalemia is a life-threatening disorder with a multitude of causes. We present a case of a 64-year-old woman with new-onset hyperkalemia. A patient with a documented history of normokalemia developed consistent hyperkalemia on repeat blood testing. The patient was initially managed by her primary care physician, then referred to nephrology for persistent hyperkalemia, at which point sodium polystyrene sulfonate was initiated. The patient presented for a second opinion on the hyperkalemia, and after a thorough history and chart review, it was determined that the patient's dorzolamide-timolol eye drops were the cause of the hyperkalemia. Discontinuation of the eye drops resolved the hyperkalemia.

Fields of Study & Subjects

Potassium and Related Disorders Ion Transport and Channel Regulation Gastroesophageal reflux and treatments

Publication details

Journal / source
Cureus
Publisher
Springer Science and Business Media LLC
Volume
18
Issue
4
Pages
e106682–e106682
Publication date
8 April 2026
Language
EN