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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
Causes of Hyperkalemia

Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
Causes of Hyperkalemia ... Hyperkalemia ... of hyperkalemia ... #Hyperkalemia # ... Differential #Causes
“H’s & T’s“ - The reversible causes of Cardiac Arrest 
Hypovolemia, Hypoxia/Hypoxemia, Hydrogen Ion Excess (Acidosis),
The reversible causes ... Excess (Acidosis), Hypokalemia ... /Hyperkalemia, Hypothermia ... #diagnosis #arrest ... #management
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... Diagnosis Algorithm ... Excretion (IV potassium ... Transcellular Shift #Hyperkalemia ... #Diagnosis #Algorithm
Hyperkalemia Differential Diagnosis Algorithm

#Hyperkalemia #Differential #Diagnosis #Algorithm #PseudoHyperkalemia #Nephrology #Causes
Hyperkalemia Differential ... Diagnosis Algorithm ... #Hyperkalemia ... Diagnosis #Algorithm ... PseudoHyperkalemia #Nephrology #Causes
Hyperkalemia Differential Diagnosis Algorithm
R/O Pseudo-hyperkalemia:
 • Possible Lab error! Alwavs Repeat Blood sample!
 • Leukocytosis, Thrombocytosis:
Hyperkalemia Differential ... Diagnosis Algorithm ... R/O Pseudo-hyperkalemia ... plasma [K+] #Hyperkalemia ... #causes #potassium
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
the Treatment of Hyperkalemia ... redistributive hyperkalemia ... of hyperkalemia ... #Management #Medications ... #Hyperkalemia #
Constipation - Differential Diagnosis Algorithm
Diet/Lifestyle
 • Fibre
 • Calories
 • Fluid
 • Exercise
 • Psychosocial
Medications
 •
Diagnosis Algorithm ... Hypothyroidism • Hypokalemia ... • Hypercalcemia ... #Diagnosis #Algorithm ... #Causes
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... to moderate); hypokalemia ... Hypomagnesemia; hypokalemia ... disturbances (including hypokalemia ... #Binding #Hyperkalemia
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Thyrotoxicosis Medications ... MatthewHoMD #Hypokalemia ... Diagnosis #Algorithm