518 results
Hyperkalemia - Differential Diagnosis - Impaired Excretion vs Redistribution

Impaired Urinary Excretion 
 - Renal failure
 -
Hyperkalemia - Differential ... toxicity Other - Insulin ... - Exercise - Hyperkalemic ... DrEricStrong #Hyperkalemia
Hypokalemia Differential Diagnosis Algorithm

Low intake 
• poor oral intake 

Renal loss 
• Medication 
• Hypomagnesemia 
•
Hypokalemia Differential ... Adrenergic excess • Insulin ... Hypothermia • Hypokalemic ... amzn.to/2LmUODZ #Hypokalemia
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemia - Differential ... Redistribution - Insulin ... proliferation - Hypokalemic ... DrEricStrong #Hypokalemia
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
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Causes of Hypokalemia ... K+ into cells: Insulin ... Refeeding Syndrome #Hypokalemia
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
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
Acute Hyperkalemia Management
 • Membrane Stabilization: Calcium Gluconate (10%), Hypertonic (3%) Normal Saline
 • Shifters: Insulin
Acute Hyperkalemia ... Saline • Shifters: Insulin ... Hemodialysis #Acute #Hyperkalemia