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Hyperkalemia Hypokalemia - Differential Diagnosis and Management Algorithm

Dr Pravin Patel

#Hypokalemia #Hyperkalemia #potassium #differential #diagnosis #management
Hyperkalemia Hypokalemia ... Diagnosis and Management ... Algorithm Dr ... potassium #differential ... #diagnosis #management
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic ... algorithm Decreased ... Normal, Renin High ... • Drugs • Addison's ... #Diagnosis #algorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... evaluating hypokalemia ... treated with IV potassium ... urinary losses: • High
Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
Emergency management ... of severe hyperkalemia ... #hyperkalemia ... #management #algorithm ... #nephrology #Potassium
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... #management ... ) I've added a potassium ... (4) Due to high ... patients with potassium
Evaluation and Management of Hyperkalemia

As with hypokalemia, the immediate danger of hyperkalemia is its effect on
Evaluation and Management ... of Hyperkalemia ... As with hypokalemia ... , because hyperkalemia ... #Evaluation #Algorithm
Hyperkalemia Differential Diagnosis Algorithm
R/O Pseudo-hyperkalemia:
 • Possible Lab error! Alwavs Repeat Blood sample!
 • Leukocytosis, Thrombocytosis:
Diagnosis Algorithm ... TTKG should be high ... Differential #Diagnosis #Algorithm ... #causes #potassium ... #high #pathophysiology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... • Recent IV potassium ... Excretion: • Addison ... diagnosis #causes #potassium ... #high #nephrology
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... Dialysis Serum potassium ... #potassium #high ... #algorithm #treatment
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... pomagnesemia Evaluation ... route = severe hypokalemia ... /hr for severe hypokalemia ... #Management #CriticalCare