Periodic paralysis (PP): Disorder of muscle metabolism usually inherited that leads to flaccid extremity weakness. Exacerbated by hyperkalemia, hypokalemia, thyrotoxicosis
Can be isolated
Common for attacks to recur and for weakness to persist between attacks
Frequency from single isolated to daily attack...
ABC, IV, O2, monitor
Many attacks brief and do not need treatment
IV calcium gluconate may end attack
HypoPP or HyperPP:
Avoid triggers: Ethanol, prolonged exercise, high potassium foods, fasting
Depends on severity of underlying disease, if asymptoma...
Admit Andersen–Tawil patients and all PP patients who remain symptomatic.
Use caution with volatile anesthetics and depolarizing muscle relaxants in patients with all forms of PP
Alkaabi JM, Mushtaq A, Al-Maskari FN, et al. Hypokalemic periodic paralysis: A case series, review of the literature and update of management. Eur J Emerg Med. 2010;17(1):4...
267607008 Familial periodic paralysis (disorder)
7409003 Secondary periodic paralysis (disorder)
278513006 Hyperkalemic periodic pa...
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