40 results
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... Approach • MILD K+ ... Gluconate IV Shift ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Transcellular Shift ... vomiting) • Low K ... Transcellular shifts ... MatthewHoMD #Hypokalemia
Causes of Hypokalemia - Differential Diagnosis Algorithm
Increased Loss 
 - Increased GI Loss
 - Increased Urinary
Causes of Hypokalemia ... Transcellular Shift ... Stimulation of Na/K-ATPase ... which imports K+ ... Refeeding Syndrome #Hypokalemia
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... Preferentially captures K ... desired serum K ... Mechanism: Sodium-K ... #pharmacology #table
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • Digoxin • K ... Intracellular Shift ... : • K release ... K supplement 3
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... • Increased EC shift ... of K (Succinylcholine ... MunerMohamed1 #hyperkalemia
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... out, causes of hypokalemia ... (transcellular shift ... varunnephro #Hypokalemia ... Algorithm #Causes #workup
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Hyperkalemia - Differential ... • Digoxin • K ... Intracellular Shift ... : • K release ... K supplement 3
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... - At K = 5.0 to ... - At K = 6.0 to ... #Diagnosis #Hyperkalemia ... #Progression #Table
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on ... EKG "Mild" Hyperkalemia ... machine "Moderate" Hyperkalemia ... both the absolute K+ ... #EKG #ECG #electrocardiogram