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.
In hyperkalemia, the level of potassium in blood is too high. A high potassium level has many causes, including kidney disorders, drugs that affect kidney function, and consumption of too much supplemental potassium. Usually, hyperkalemia must be severe before it causes symptoms, mainly abnormal heart rhythms.