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Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... injury, ischemia, hemolysis ... Pseudohyperkalemia - hemolysis ... clear cause) Management ... #Treatment #potassium
Hyperkalemia Hypokalemia - Differential Diagnosis and Management Algorithm

Dr Pravin Patel

#Hypokalemia #Hyperkalemia #potassium #differential #diagnosis #management
Hyperkalemia Hypokalemia ... Diagnosis and Management ... #Hyperkalemia # ... potassium #differential ... #diagnosis #management
Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
Emergency management ... of severe hyperkalemia ... #hyperkalemia ... #nephrology #Potassium ... #Treatment
Hyperkalemia Management
Membrane Stabilizers:
 • Calcium gluconate
Shifters:
 • Insulin + glucose
 • Albuterol
Excreters:
 • Furosemide
 • Sodium
Hyperkalemia Management ... Medicine @ucsdim #Hyperkalemia ... #Management #Treatment ... #Potassium
Hyperkalemia Approach

#hypokalemia #algorithm #approach #diagnosis #management #treatment #medgram
Hyperkalemia Approach ... #hypokalemia ... approach #diagnosis #management ... #treatment #medgram
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... Fluids Shift potassium ... LouLectures #Hyperkalemia ... #management #potassium
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
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... of Hyperkalemia ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia ... #management #algorithm