Iatrogenic status

The status of the retina has not changed it is still detached, very frequently with idiopathic or iatrogenic liquid between the sensoric retina tissue and the underlying vascular layer (choroidea). 

The transfer of intracellular K" into ECF invariably occurs in acidosis as H shifts intraceHularly and shifts outward to maintain electrical neutrality. As a general rule, K concentrations are expected to rise 0.2 to 0.7 mmol/L for every 0.1 unit drop in pH. When the underlying cause of the acidosis is treated, normokalemia will rapidly be restored. Extracellular redistribution of may also occur in (1) dehydration, (2) shock with tissue hypoxia, (3) insulin deficiency (e.g., diabetic ketoacidosis), (4) massive intravascular or extracorporeal hemolysis, (5) severe burns, (6) tumor lysis syndrome, and (7) violent muscular activity, such as that occurring in status epilepticus. Finally, important iatrogenic causes of redistribution hyperkalemia include digoxin toxicity and P adrenergic blockade, especially in patients with diabetes or on dialysis. ... 

Failure of the mechanisms that ensure Mg homeostasis, or endogenous or iatrogenic perturbing factors of Mg status, leads to secondary Mg deficit. Secondary Mg deficiency requires a more or less specific correction of its causal dysregulation. 

Two iatrogenic causes of subclinical beriberi are known, namely that associated with diuretic treatment and one resulting from alcohol abuse. Both are of concern because the use of diuretics is introduced to manage cardiovascular disease, a condition that will deteriorate if thiamin status is impaired, and alcohol abuse can lead to Wernicke-Korsakoff syndrome, which can have many of the features of both wet and dry beriberi. 

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