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Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... guided by clinical ... scenario, ECG and ... Gluconate IV Shift ... recurrence #Hyperkalemia
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
Medications for ... disturbances, shift ... , changes on ECG ... , and Table 3 summarizes ... medications used
Compelling and Possible Contraindications to Antihypertensive Drugs
Diuretics (thiazides)
 - Gout
 - Metabolic syndrome, Glucose intolerance, Pregnancy,
, Hypokalemia, Erectile ... failure - Co-medication ... Pgp-dependent drugs (e.g ... antihypertensive #medications ... contraindications #table
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Normal variant • Hypercalcemia ... Neurological insult • Medications ... fibrillation Clinical ... Differential #Cardiology #EKG ... #ECG #Hypothermia
Etiologies of Hypernatremia - Differential Diagnosis
GI losses / Insensible losses
Sodium Overload
Transcellular Movement of Water
Central Diabetes Insipidus
in kidneys) - Medications ... (e.g. lithium, ... cisplatin) - Chronic hypercalcemia ... - Chronic hypokalemia ... Differential #Diagnosis #Table
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... potassium and ECG ... blocks, QRS axis shift ... , asystole #hyperkalemia ... management #algorithm #treatment
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
people with high hypercalcemia ... brain injury, medications ... This EKG was recorded ... #EKG #EmergencyMedicine ... #Clinical
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... injury, etc) ECG ... cardiac membrane Shift ... not quickly) #Hyperkalemia
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... heparinized tube) • ECG ... Elimination (see Table ... STOP offending medications ... Terbutaline 7 µg/kg
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Dermatomyositis Clinical ... • LDH ↑ • Hyperkalemia ... Shift of extracellular ... Treatment of underlying ... per day until stable