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diagnosis management differential high intercellularshift kdigo arb evaluation hematology hypokalemia initiation leukostasis lysis monitoring syndrome tls tumor
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Management of Hyperkalemia ... mmol/L - Consider cause ... clinical scenario, ECG ... Prevention - Consider cause ... #management #algorithm
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Treatment Algorithm ... ECG changes, weakness ... injury, etc) ECG ... Remove potassium ... #Treatment #Algorithm
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department • Place on cardiac
KDIGO Treatment ... monitor 12-lead ECG ... depletion • Consider K+ ... #treatment #potassium ... #high #nephrology
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV ... depletion • Consider K+ ... and ECG changes ... #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Weakness, cramping, nausea ... , ACEi/ARBs, NSAIDs ... heparinized tube) • ECG ... only if no clear cause ... #potassium #nephrology
ACEI or ARB Initiation Hyperkalemia: - Review concurrent drugs - Moderate potassium Intake - Consider: diuretics, sodium
Hyperkalemia: ... drugs - Moderate potassium ... - Review for causes ... concomitant medications (e.g ... Initiation #monitoring #algorithm
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... • Low EABV (e.g ... Aldosterone • ACEi ... IntercellularShift #Nephrology ... #Causes
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... • Cell Lysis (e.g ... Decreased Na+-K+ ... IntercellularShift #Nephrology ... #Causes
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... : - Neuro: AMS ... values: Elevated K, ... hydration - Hyperkalemia ... unless worrisome EKG
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
warranting urgent treatment ... electrocardiography (ECG ... Most cases of hypokalemia-induced ... depletion impedes potassium ... #Evaluation #Algorithm
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