The Relationship Between KCl Infusion and Changes of ECG, Electrolytes of Plasma and K Content of Donkey's Red Blood Cells

Abstract

Sudden marked increases in the serum potassium concentration, up to 8 to 9 meq L(-1), are the result of transcellular movement of potassium and are associated with profound electrocardiographic abnormalities and fluid shifts. Electrocardiographic changes associated with hyperkalemia have been described in the cat, the dog, the horse and are well documented in man. Since there is no research about the effects of hyperkalemia on electrocardiogram of donkey, the purpose of this study was to induce the experimentally hyperkalemia in donkey and studying the relationship between KCl infusion and changes of ECG, electrolytes of plasma and K content of donkey's red blood cells. This research was carried out in seven clinically healthy female donkeys, injected with 0.35 molar potassium chloride solutions to jugular vein. Results indicated that potassium content of RBC at 30, 45, 60, 75 and 90 min, blood potassium level at 30, 45, 60, 75 and 90 min, blood calcium at 60, 75, 90 and 105, increased significantly and blood magnesium decreased significantly at 135 min. Electrocardiographic changes were first degree A-V block, wandering pacemaker, inversion of negative to positive T-wave, flattening of the P-wave, ventricular premature beat, sinus arrest, bradycardia and sinus tachycardia.