11 results
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... • Digoxin • K ... • Recent IV potassium ... differential #diagnosis #causes ... #potassium #high
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia Treatment ... ongoing rhabo, crush ... as a standalone treatment ... Remove potassium ... #Hyperkalemia #Treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... Lysis (TLS, rhabdo/crush ... tourniquet / IVF line draw ... only if no clear cause ... #potassium #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Burns • Trauma/Crush ... • Digoxin • K ... • Recent IV potassium ... differential #diagnosis #causes ... #potassium #high
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... exposure Symptoms: Nausea ... High Lactate, Low Potassium ... 4.5 mmol/L 4) K ... diagnosis #management #Treatment
Hyperkalemia Management Algorithm
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
• Treat the cause ... • Reconsider treatment ... and parenteral potassium ... Intracellular K+ ... #potassium #high
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Immobilization, Crush ... oxidative iniury Treatment ... Monitor potassium ... Management #Summary #causes ... #treatment
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Blood drawn from ... site/line where potassium ... Decrease K: • ... Hyperkalemia #Management #treatment ... #potassium #high
Causes of Hyperkalemia - Differential Diagnosis Framework
 • Cellular Shift:
   - Exercise
Causes of Hyperkalemia ... to Aldosterone: K ... production: TLS, Crush ... hyperkalemia: Blood draw ... #potassium #high
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... Immobilization - Crush ... Treatment of underlying ... Monitor potassium ... Diagnosis #Management #causes