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Hyperkalemia Hypokalemia - Differential Diagnosis and Management Algorithm

Dr Pravin Patel

#Hypokalemia #Hyperkalemia #potassium #differential #diagnosis #management
Hyperkalemia Hypokalemia ... and Management Algorithm ... Pravin Patel #Hypokalemia ... #Hyperkalemia # ... potassium #differential
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... Differential Diagnosis Algorithm ... Excretion (IV potassium ... Transcellular Shift ... #Hyperkalemia
Hypokalemia - Differential Diagnosis Algorithm

Transcellular Shift:
 • Alkalosis
 • ↑ beta-2 adrenergic simulation 
 • Erythropoiesis
Hypokalemia - Differential ... Diagnosis Algorithm ... Transcellular Shift ... MatthewHoMD #Hypokalemia ... nephrology #low #potassium
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... #hyperkalemia #electrolytes ... Up to half of hyperkalemia ... patients with extreme hyperkalemia ... for refractory hyperkalemia
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... membrane: • IV Calcium ... minutes) Decrease potassium ... • IV Fluids Shift ... LouLectures #Hyperkalemia
Causes of Hyperkalemia

Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
Causes of Hyperkalemia ... Hyperkalemia ... The etiology of hyperkalemia ... sole cause of hyperkalemia ... #Diagnosis #Hyperkalemia
Hyperkalemia Management Algorithm
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
Hyperkalemia Management ... treatment leadingto hyperkalemia ... Intracellular K+ Shift ... / Removal #Hyperkalemia ... #high
Classification of Tumor Lysis Syndrome (TLS) and Treatment of Metabolic Abnormalities of TLS
Laboratory TLS:
 • Uric
8.0 mg/dL • Potassium ... 4.6 mg/dL • Calcium ... other symptomatic hypocalcemia ... hydroxide • Hyperkalemia ... treatment • Hypocalcemia
Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
management of severe hyperkalemia ... #hyperkalemia ... #management #algorithm ... #nephrology #Potassium
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... Gluconate IV Shift ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia ... #management #algorithm