Potassium level in serum with ACEI - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 1 Forum

USMLE Step 1 Forum USMLE Step 1 Discussion Forum: Let's talk about anything related to USMLE Step 1 exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 02-25-2014
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,109
Threads: 31
Thanked 521 Times in 394 Posts
Reputation: 540
Default Potassium level in serum with ACEI

Will Potassium level in serum for a patient on ACEI increase or not affected?
__________________
In USMLE, “Any fool can know. The point is to understand.”
Reply With Quote Quick reply to this message



  #2  
Old 02-25-2014
medicalbiology's Avatar
USMLE Forums Guru
 
Steps History: Not yet
Posts: 394
Threads: 128
Thanked 108 Times in 88 Posts
Reputation: 118
Default

Ace inhibitor cause hyperkalemia...
Reply With Quote Quick reply to this message
The above post was thanked by:
nsesereso (02-25-2014)
  #3  
Old 02-25-2014
dr_kg's Avatar
USMLE Forums Guru
 
Steps History: CS Only
Posts: 333
Threads: 25
Thanked 98 Times in 79 Posts
Reputation: 108
Default

Quote:
Originally Posted by nsesereso View Post
Will Potassium level in serum for a patient on ACEI increase or not affected?
bro first aid page 502, toxicity of ACEI: hyperkalemia.
GL
__________________
Work Smarter...not harder.
Reply With Quote Quick reply to this message
The above post was thanked by:
nsesereso (02-25-2014)
 
  #4  
Old 02-25-2014
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,109
Threads: 31
Thanked 521 Times in 394 Posts
Reputation: 540
Default

Quote:
Originally Posted by dr_kg View Post
bro first aid page 502, toxicity of ACEI: hyperkalemia.
GL
Thanks I saw it but was thinking does ACEI have any effect on aldosterone?
Or through extended angiotensin effect on aldosterone?
Am actually on the renal part.
__________________
In USMLE, “Any fool can know. The point is to understand.”
Reply With Quote Quick reply to this message
  #5  
Old 02-25-2014
dr_kg's Avatar
USMLE Forums Guru
 
Steps History: CS Only
Posts: 333
Threads: 25
Thanked 98 Times in 79 Posts
Reputation: 108
Default

Quote:
Originally Posted by nsesereso View Post
Thanks I saw it but was thinking does ACEI have any effect on aldosterone?
Or through extended angiotensin effect on aldosterone?
Am actually on the renal part.
it decreases? ACEI will cause low AT II hence low aldosterone level
__________________
Work Smarter...not harder.
Reply With Quote Quick reply to this message
  #6  
Old 02-25-2014
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 1,109
Threads: 31
Thanked 521 Times in 394 Posts
Reputation: 540
Default

Quote:
Originally Posted by dr_kg View Post
it decreases? ACEI will cause low AT II hence low aldosterone level
Yea I think due to decrease in angiotension 2 then decrease aldosterone so decrease sodium but high potassium
__________________
In USMLE, “Any fool can know. The point is to understand.”
Reply With Quote Quick reply to this message
  #7  
Old 02-25-2014
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 592
Threads: 92
Thanked 196 Times in 128 Posts
Reputation: 206
Send a message via Skype™ to drpisho
Correct Answer

No aldosterone -> no secretion of k -> hyperkalemia
__________________
Will. Power. Faith. MATCHED IM 2016!
Reply With Quote Quick reply to this message
  #8  
Old 02-27-2014
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 104
Threads: 9
Thanked 45 Times in 26 Posts
Reputation: 55
Default

Yes ACEI cause hyperkalemia secondary to its effect of decreased aldosterone. That's why combination drug regimen of spironolactone and ACEI is avoided. In the setting of CHF this hyperkalemia will be deadly.
Reply With Quote Quick reply to this message



Reply

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Elevated Maternal Serum Alpha-Fetoprotein Level DocSikorski USMLE Step 1 Forum 15 03-23-2014 03:15 AM
Renal Function and Potassium Level medicalbiology USMLE Step 1 Forum 2 01-23-2014 06:07 AM
Beta Agonist effect on Potassium Level Hope2Pass USMLE Step 1 Forum 6 06-02-2012 11:22 AM
DKA and Potassium Level hippocampus USMLE Step 1 Forum 13 07-16-2010 08:27 AM
Potassium level in acute vz chronic alkalosis hippocampus USMLE Step 1 Forum 2 01-03-2010 12:50 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)