19 results
Hyperkalemia: Diagnostic algorithm
Decreased renal potassium excretion
 • Acute renal failure
 • Chronic renal failure
 • Drugs
Increased
Hyperkalemia: Diagnostic ... Decreased renal potassium ... Drugs Increased potassium ... • Tumor lysis/hemolysis ... • Type 1 #Hyperkalemia
Hyperkalemia Differential Diagnosis Algorithm
R/O Pseudo-hyperkalemia:
 • Possible Lab error! Alwavs Repeat Blood sample!
 • Leukocytosis, Thrombocytosis:
Hyperkalemia Differential ... Algorithm R/O Pseudo-hyperkalemia ... ischemia-induced RBC hemolysis ... ) • RBC Hemolysis ... Algorithm #causes #potassium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... venipuncture • Hemolysis ... • Recent IV potassium ... cell lysis: - Hemolysis ... diagnosis #causes #potassium
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... incongruous with clinical ... route = severe hypokalemia ... /hr for severe hypokalemia ... Internet Book of Critical
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... venipuncture • Hemolysis ... • Recent IV potassium ... cell lysis: - Hemolysis ... diagnosis #causes #potassium
Causes of Hyperkalemia
Pseudohyperkalemia
 - Tourniquet use
 - Hemolysis (in vitro)
 - Leukocytosis
 - Thrombocytosis
Intra- to extracellular
Causes of Hyperkalemia ... Tourniquet use - Hemolysis ... intoxication - Hyperkalemic ... aged blood - Hemolysis ... acidosis) #Hyperkalemia
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... #hyperkalemia #electrolytes ... pay attention to clinical ... ) I've added a potassium ... patients with potassium
Hypokalaemia:

The gradual fall in serum potassium level is reflected electrocardiographically by the following features:

1. Gradual decrease
fall in serum potassium ... leads V2-V4 #Clinical ... #EKG #UWaves #Hypokalemia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... injury, ischemia, hemolysis ... Pseudohyperkalemia - hemolysis ... #Hyperkalemia ... Management #Treatment #potassium
Causes of Hyperkalemia - Differential Diagnosis Framework
 • Cellular Shift:
   - Exercise
Causes of Hyperkalemia ... tacrolimus - Hyperkalemic ... Crush injury, Hemolysis ... • Pseudo hyperkalemia ... Diagnosis #Causes #potassium