32 results
Progressive ECG changes with increasing 
hyperkalaemia. 
 (a) Normal 
 (b) Tented T wave (arrow)
Progressive ECG ... hyperkalaemia ... arrest) #Diagnosis ... #ECG #Hyperkalemia ... #Progression #Changes
Textbook progression Of EKG changes in Hyperkalemia. In reality, EKGs are far 
more variable and unpredictable.
Textbook progression ... Of EKG changes ... in Hyperkalemia. ... #Hyperkalemia #Progression ... #Changes #Diagnosis
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Hypokalemia, Erectile ... antagonists (MRA) - Hyperkalemia ... higher risk of hyperkalemia ... Angioneurotic edema, Hyperkalemia ... - Pregnancy, Hyperkalemia
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... repolarization; changes ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Intracellular Shift ... NephTwitter) #Hypokalemia ... Differential #Algorithm #Diagnosis ... #Causes #Workup
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... potassium and ECG ... changes • 5.5 ... blocks, QRS axis shift ... , asystole #hyperkalemia
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... Heparin) • Sodium-channel ... shift of K (Succinylcholine ... MunerMohamed1 #hyperkalemia ... #differential #diagnosis
Adrenal Incidentalomas: Hormone Evaluation
 • Zona Glomerulosa: Primary Hyperaldosteronism?
    - Aldosterone and renin
Adrenal Incidentalomas ... Aldosterone and renin if hypokalemia ... evaluation • Adrenal ... Hormone #Evaluation #Diagnosis ... #workup #endocrinology
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
the Treatment of Hyperkalemia ... disturbances, shift ... , changes on ECG ... , severe hyperkalemia ... , and Table 3 summarizes
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... Drugs Causing Hyperkalemia ... Metabolic acidosis - Hyperkalemia ... cantaloupe #hyperkalemia