# Atrial Flutter With Intraventricular Conduction Delay, Hypotension, and Bradycardia in the Setting of High-Output Ileostomy With Renal Failure, Hyperkalemia, and Metabolic Acidosis: A Case Report With Brief Literature Review

## TL;DR

This case report highlights the complex medical challenges faced by a patient with a high-output ileostomy and multiple complications, stressing the importance of team-based care.

## Contribution

The paper presents a unique case emphasizing multidisciplinary care for high-output ileostomy patients with cardiac issues.

## Key findings

- High-output ileostomy can lead to renal failure and electrolyte imbalances.
- Cardiac arrhythmias may develop in patients with high-output ileostomy and metabolic disturbances.
- A team-based approach is crucial for managing such complex cases and preventing life-threatening complications.

## Abstract

After ostomy creation, some patients tend to develop high outputs from their ostomy site, which puts them at risk for volume depletion, renal failure, and electrolyte and acid-base abnormalities. This case emphasizes the need for a multidisciplinary team-based approach for the care of patients after ostomy creation, especially those with persistent high output and significant cardiac comorbidities, including cardiac arrhythmias. Patient education and subsequent follow-ups and assessments are important to prevent life-threatening complications in these patients.