Sodium zirconium cyclosilicate mimicking enteric radiocontrast

A 66-year-old woman with a history of cryptogenic cirrhosis complicated by hepatocellular carcinoma underwent a living donor liver transplant. Her course was complicated by hilar bleeding and shock requiring surgical repair. After a complicated postoperative course, she was eventually discharged home. One month later, the patient presented to the emergency department with hypotension and bradycardia. Electrocardiography showed junctional rhythm with rate of 40/min. Laboratory tests revealed hyperkalemia, with a serum potassium level of 6.2 mEq/L, which was treated with a single 10-g dose of sodium-zirconium cyclosilicate (ZS-9).
Source: Kidney International - Category: Urology & Nephrology Authors: Tags: Nephrology Image Source Type: research