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Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
Emergency management ... #hyperkalemia ... #management #algorithm ... #nephrology #Potassium ... #Treatment
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... Excretion (IV potassium ... #Nephrology #Differential ... #Diagnosis #Algorithm ... #Causes
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... #kaliuresis #management ... #criticalcare # ... #diuresis #nephrology ... #algorithm
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... #management ... have a normal ECG ... A normal ECG doesn't ... ) I've added a potassium
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... mmol/L - Consider cause ... clinical scenario, ECG ... Prevention - Consider cause ... #management #algorithm
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... Fluids Shift potassium ... LouLectures #Hyperkalemia ... #management #potassium ... #nephrology
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... arrhythmia: - EKG ... route = severe hypokalemia ... /hr for severe hypokalemia ... #Management #CriticalCare
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... and ECG changes ... #potassium #high ... #algorithm #treatment
Causes of Hypokalemia - Differential Diagnosis Algorithm
Defining the cause of hypokalemia starts by measuring urinary K
Causes of Hypokalemia ... Differential Diagnosis Algorithm ... differential #diagnosis #algorithm ... #causes #nephrology ... #potassium
Constipation - Differential Diagnosis Algorithm
Diet/Lifestyle
 • Fibre
 • Calories
 • Fluid
 • Exercise
 • Psychosocial
Medications
 •
Differential Diagnosis Algorithm ... Aluminum, Calcium, Potassium ... Hypothyroidism • Hypokalemia ... • Hypercalcemia ... #Causes