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ultrasound echocardiogram cardiology a4c abdominal lung msk pulmonary plax effusion radiology sign aortic labeled aorta diagnosis psax ocular transverse pericardial
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
minutes) Decrease potassium ... Fluids Shift potassium ... intracellularly: • Insulin ... Sodium bicarbonate Potassium ... Hyperkalemia #management #potassium
Hyperkalemia Management Membrane Stabilizers: • Calcium gluconate Shifters: • Insulin + glucose • Albuterol Excreters: • Furosemide • Sodium
gluconate Shifters: • Insulin ... Management #Treatment #Potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm Increased Loss - Increased GI Loss - Increased Urinary
K+ into cells: Insulin ... Algorithm #causes #potassium
Sulfonylureas - Pharmacology Summary Mechanisms of Action: Binds to the ATP-sensitive potassium channel in pancreatic beta cells,
ATP-sensitive potassium ... cells, triggering insulin
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
incongruous with clinical ... safely, whereas potassium ... Enteral potassium ... Intravenous potassium ... Internet Book of Critical
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
Redistribution - Insulin ... Diagnosis #Low #Potassium
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
calcium • IV insulin ... Dialysis Serum potassium ... #hyperkalemia #potassium
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
cells - Combo of insulin ... reduction • Insulin ... units regular insulin ... treatment Remove potassium
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
easily outweighs Insulin ... of circulating Insulin ... a state of NO Insulin ... Treat with Insulin ... provided the starting potassium
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
• Recent IV potassium ... paralysis - Insulin ... diagnosis #causes #potassium
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