416 results
Hyperkalemia - Differential Diagnosis - Impaired Excretion vs Redistribution

Impaired Urinary Excretion 
 - Renal failure
 -
Hyperkalemia - Differential ... toxicity Other - Insulin ... - Exercise - Hyperkalemic ... DrEricStrong #Hyperkalemia
ECG Changes in Hyperkalemia and Treatment
Membrane Stabilization
 - Calcium gluconate or chloride 
Redistribution
 - Insulin
ECG Changes in Hyperkalemia ... Redistribution - Insulin ... Hemodialysis #Hyperkalemia
Hyperkalemia Management
Membrane Stabilizers:
 • Calcium gluconate
Shifters:
 • Insulin + glucose
 • Albuterol
Excreters:
 • Furosemide
 • Sodium
Hyperkalemia Management ... gluconate Shifters: • Insulin ... Medicine @ucsdim #Hyperkalemia
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... into cells • Insulin–Glucose ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia
Emergency Therapy of Hyperkalemia
Therapy - Dose and Route - Onset of Action - Duration of Effect
Emergency Therapy of Hyperkalemia ... Albuterol (nebulized), Insulin ... Hemodialysis #Hyperkalemia
Causes of Hyperkalemia - Differential Diagnosis Framework
 • Cellular Shift:
   - Exercise
Causes of Hyperkalemia ... Acidosis - Insulin ... tacrolimus - Hyperkalemic ... Hemolysis • Pseudo hyperkalemia ... Medicine @ucsdim #Hyperkalemia
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Causes of Hypokalemia ... K+ into cells: Insulin ... Refeeding Syndrome #Hypokalemia
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... intracellularly: • Insulin ... LouLectures #Hyperkalemia
Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
digoxin) - Tx: insulin ... Electrolytes (hyperkalemia ... calcium, albuterol, insulin
Acute Hyperkalemia Management
 • Membrane Stabilization: Calcium Gluconate (10%), Hypertonic (3%) Normal Saline
 • Shifters: Insulin
Acute Hyperkalemia ... Saline • Shifters: Insulin ... Hemodialysis #Acute #Hyperkalemia