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diagnosis treatment nephrology algorithm differential causes checklist high anesthesiology intraoperative hypokalemia workup comparison evaluation anaphylaxis binders blood bradycardia cardiac cardiacarrest
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... • IV Fluids Shift ... LouLectures #Hyperkalemia ... #management #potassium
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... Shift of extracellular ... Monitor potassium ... per day until stable ... Dialysis for severe hyperkalemia
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach to Hypokalemia ... arrhythmia: - EKG ... clinical context & EKG ... route = severe hypokalemia ... #Management #CriticalCare
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Dialysis Serum potassium ... and ECG changes ... blocks, QRS axis shift ... #potassium #high
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - ... Framework and Management ... Shift of extracellular ... Monitor potassium ... per day until stable
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • Recent IV potassium ... Intracellular Shift ... lysis syndrome - Rhabdomyolysis ... diagnosis #causes #potassium
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
disturbances, shift ... , changes on ECG ... algorithm for the management ... , and Table 3 summarizes ... #Management #Medications
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 Causes of Hyperkalemia Pseudohyperkalemia - Tourniquet use - Hemolysis (in vitro) - Leukocytosis - Thrombocytosis Intra- to extracellular
Causes of Hyperkalemia ... shift - Acidosis ... intoxication - Hyperkalemic ... chemotherapy - Rhabdomyolysis ... acidosis) #Hyperkalemia
Hyperkalemia - Differential Diagnosis Framework PseudoHyperkalemia: • Lab error • Traumatic venipuncture • Hemolysis, thrombocytosis, leukocytosis •
Hyperkalemia - Differential ... • Recent IV potassium ... Intracellular Shift ... lysis syndrome - Rhabdomyolysis ... diagnosis #causes #potassium
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Emergency Management ... of Hyperkalemia ... clinical scenario, ECG ... Gluconate IV Shift ... #management #algorithm
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