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Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
Emergency management ... #hyperkalemia ... #management #algorithm ... #nephrology #Potassium ... #Treatment
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 ... (4) Due to high
Hyperkalemia Management Algorithm
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
Hyperkalemia Management ... the cause & optimize ... #Management #Algorithm ... #treatment #potassium ... #high
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... and ECG changes ... #potassium #high ... #algorithm #treatment
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 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
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... #kaliuresis #management ... #criticalcare # ... treatment #diuretics ... diuresis #nephrology #algorithm
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
Constipation - Differential Diagnosis Algorithm
Diet/Lifestyle
 • Fibre
 • Calories
 • Fluid
 • Exercise
 • Psychosocial
Medications
 •
Differential Diagnosis Algorithm ... Aluminum, Calcium, Potassium ... Hypothyroidism • Hypokalemia ... • Hypercalcemia ... #Causes
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
algorithm for management ... monitor 12-lead ECG ... #management #algorithm ... #treatment #potassium ... #high #nephrology