Coagulation changes during massive hepatic necrosis due to Amanita phalloides poisoning with special reference to antihemophilic globulin.
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Biomedical subjects
Publications and source records attributed to P G Frick.
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Hypokalaemia and metabolic alkalosis were seen in three patients and additionally hypernatraemia in two patients treated with 100 mega units of sodium penicillin G for subacute bacterial endocarditis. The hypernatraemia was probably due to the administration of insufficient fluid, while urinary potassium loss was an important factor in producing hypokalaemia and metabolic alkalosis after. Penicillin may promote urinary potassium excretion by acting as a non-reabsorbable anion.Potassium depletion during treatment with massive doses of sodium penicillin G may be prevented by concurrently administering potassium-sparing diuretics or by using the potassium salt of penicillin.
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Plasma cryoprecipitates containing considerable quantities of clotting factor V were observed in five patients. The unusual factor V activity was not associated with significant amounts of cryofibrinogen. Clinically, the symptoms were not distinguishable from those of other cryopathies. The abnormality did not lead to a deficiency of factor V in the circulating blood nor to a haemorrhagic diathesis.
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