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Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... clinical scenario, ECG ... and rate of rise ... prevent further rise ... #management #algorithm
Evaluation and Management of Hyperkalemia

As with hypokalemia, the immediate danger of hyperkalemia is its effect on
Evaluation and Management ... of Hyperkalemia ... As with hypokalemia ... their increased risk ... #Evaluation #Algorithm
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... algorithm 2023- ... #management ... have a normal ECG ... A normal ECG doesn't
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... dose at weekly intervals ... necessary at 1-wk intervals ... sodium intake; risk ... #pharmacology #table
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Hypokalemia, Erectile ... associated with higher risk ... of hyperkalemia ... Pgp-dependent drugs (e.g ... contraindications #table
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... potassium and ECG ... , Prolonged PR interval ... #algorithm #treatment
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... prolonged PR and QT intervals ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
Checklist Approach to Hypokalemia ... Consider risk ... arrhythmia: - EKG ... to reduce the risk ... #Management #CriticalCare
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... heparinized tube) • ECG ... depress, ↑PR ↑QRS intervals ... clear cause) Management ... Elimination (see Table
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 • Class 1a (quinidine,
Torsades de Pointes - Management ... Algorithm Drugs ... that prolong QT interval ... Hypomagnesemia • Hypokalemia ... #Algorithm