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

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
have a normal ECG ... A normal ECG doesn't ... most patients are ... ) I've added a potassium ... patients with potassium
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
disturbances, shift ... underlying problem can ... , changes on ECG ... Figure 3 is an algorithm ... , and Table 3 summarizes
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Algorithm • IV ... and ECG changes ... blocks, QRS axis shift ... #potassium #high
Hyperkalemia with Peaked T waves on ECG

These are the classic peaked T-waves of Hyperkalemia. Notice how
Peaked T waves on ECG ... obvious if you can ... to a baseline ECG ... Be able to recognize ... #ECG #EKG #Electrocardiogram
Causes of Hypokalemia

Hypokalemia results from abnormal losses, transcellular shifts, or insufficient intake (Table 1).6–8 Abnormal losses
transcellular shifts ... insufficient intake (Table ... Abnormal losses are ... Because the kidney can ... significantly lower potassium
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... ECG changes, weakness ... injury, etc) ECG ... cardiac membrane Shift ... treatment Remove potassium
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
(ACEI, ARB, diabetes ... child-bearing potential Ca2 ... Heart failure Ca2 ... Pgp-dependent drugs (e.g ... contraindications #table
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
electrocardiography (ECG ... transcellular shifts ... hypomagnesemia are ... depletion impedes potassium ... #Evaluation #Algorithm
The chemical formula of Digoxin is C41 H64 O14.
Digoxin (Cardiac glycoside) reversibly inhibits the sodium-potassium-ATPase, causing
intracellular potassium ... comorbid conditions (eg ... , hypercalcemia, ... Hypokalemia is a ... effect" on the ECG
ACEI or ARB Initiation
Hyperkalemia:
 - Review concurrent drugs
 - Moderate potassium Intake
 - Consider: diuretics, sodium
ACEI or ARB Initiation ... Hyperkalemia: ... drugs - Moderate potassium ... concomitant medications (e.g ... Initiation #monitoring #algorithm