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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 - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... Diagnosis Algorithm ... Transcellular Shift ... #Hyperkalemia ... #Diagnosis #Algorithm
Causes of Hyperkalemia

Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
Causes of Hyperkalemia ... Hyperkalemia ... transcellular shifts ... #Hyperkalemia # ... Differential #Causes
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift ... Diagnosis #Algorithm ... nephrology #low #potassium
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
of Hyperkalemia ... Gluconate IV Shift ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia ... #management #algorithm
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... and ECG changes ... blocks, QRS axis shift ... , asystole #hyperkalemia ... #diagnosis #management
Hypercalcemia - Differential Diagnosis Algorithm
Primary Hyperparathyroidism
 • Adenoma
 • Hyperplasia
 • MEN 1 and 2A
Tertiary Hyperparathyroidism
Hypercalcemia - ... Differential Diagnosis ... Hyperparathyroidism • Hypercalcemia ... Hypocalciuria Hypercalcemia ... Diagnosis #Algorithm
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
disturbances, shift ... , changes on ECG ... Figure 3 is an algorithm ... for the management ... , and Table 3 summarizes
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... #hyperkalemia #electrolytes ... Up to half of hyperkalemia ... patients with extreme hyperkalemia ... for refractory hyperkalemia
Constipation - Differential Diagnosis Algorithm
Diet/Lifestyle
 • Fibre
 • Calories
 • Fluid
 • Exercise
 • Psychosocial
Medications
 •
Constipation - Differential ... Diagnosis Algorithm ... Aluminum, Calcium, Potassium ... • Hypercalcemia ... #Diagnosis #Algorithm