What is drug of choice in familial hyperkalemic periodic paralysis ? and explain in detail?
Hypokalemic Periodic Paralysis acetazolamides * Acute paralysis : Oral KCI (0.2-0.4 mmol/kg) every 30 min * Muscle strength and ECG should be monitored * IV therapy rarely required (e.g., when swallowing problems or vomiting is present) * Avoid potassium in dextrose solution * Mannitol is the preferred vehicle for IV potassium ref : kd tripathi 8th ed