14 results
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 ... #EKG #ECG #Electrocardiogram
Progression of EKG changes in ACS
 • Hyperacute T waves
 • ST depression and T waves
Progression of EKG ... changes in ACS ... SatyaPatelMD #Progression ... #EKG #ACS #ECG ... #electrocardiogram
Typical ECG changes associated with hyperkalemia. 
→ Peaked T wave
→ Wide PR interval, Wide QRS duration,
Typical ECG changes ... associated with hyperkalemia ... As such, a normal ... #changes #progression ... #ekg #electrocardiogram
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... Angiotensin-converting enzyme (ACE ... Heparin) • Sodium-channel ... • Increased EC shift ... MunerMohamed1 #hyperkalemia
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Hypokalemia, Erectile ... ARB, diabetes) ACE ... potential Ca2+ channel ... failure Ca2+ channel ... contraindications #table
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
Progression of EKG ... Coronary Syndrome (ACS ... SatyaPatelMD #EKG #ACS ... #Progression #diagnosis ... #electrocardiogram
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... potassium and ECG changes ... blocks, QRS axis shift ... , Progressive widening ... , asystole #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
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... Suspicion for Hyperkalemia ... • NSAIDs • ACE ... Intracellular Shift ... kiwis, mangoes, oranges
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Algorithm ECG changes ... injury, etc) ECG changes ... cardiac membrane Shift ... not quickly) #Hyperkalemia