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Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
based on UKKA and KDIGO ... #algorithm #emergency ... have a normal ECG ... A normal ECG doesn't ... ) I've added a potassium
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
Angiotensin-converting enzyme (ACE ... shift of K (Succinylcholine ... #differential #diagnosis ... #pathophysiology ... #pharmacology #potassium
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Causes of Hypokalemia ... Algorithm Increased ... Transcellular Shift ... #potassium #low ... #pathophysiology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
KDIGO Treatment ... of acute hyperkalemia ... in the emergency ... monitor 12-lead ECG ... #treatment #potassium
ACEI or ARB Initiation
Hyperkalemia:
 - Review concurrent drugs
 - Moderate potassium Intake
 - Consider: diuretics, sodium
ACEI or ARB Initiation ... Hyperkalemia: ... drugs - Moderate potassium ... Initiation #monitoring #algorithm ... #kdigo
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... and ECG changes ... blocks, QRS axis shift ... #diagnosis #management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... cardiac membrane Shift ... treatment Remove potassium ... offending agent (ACE-I
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
search for warning signs ... electrocardiography (ECG ... transcellular shifts ... #Diagnosis #Hypokalemia ... #Evaluation #Algorithm
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Loss of sodium/Potassium ... Collapse: • Pathophysiology ... → Syncope • Signs ... Exertional Heat Stroke: EMERGENCY ... Hypocalcemia - Hyperkalemia