There are four main types of episiotomy: 1  Medio-lateral: The incision is made downward and outward from the midpoint of the fourchette either to the right or left. 2  It is directed diagonally in a straight line which runs about 2.5 cm (1 in) away from the anus (midpoint between the anus and the ischial tuberosity).
Technically, hyperkalemia means an abnormally elevated level of potassium in the blood. The normal potassium level in the blood is 3.5-5.0 milliequivalents per liter (mEq/L). Potassium levels between 5.1 mEq/L to 6.0 mEq/L reflect mild hyperkalemia.
If you have symptoms of hyperkalemia and have reason to think your potassium level might be high, call your doctor immediately. Hyperkalemia is a serious and potentially life-threatening disorder. It can cause: 1  Muscle fatigue. 2  Weakness. 3  Paralysis. 4  Abnormal heart rhythms (arrhythmias). 5  Nausea.