49 results
Hypokalaemia:

The gradual fall in serum potassium level is reflected electrocardiographically by the following features:

1. Gradual decrease
Hypokalaemia: ... fall in serum potassium ... leads V2-V4 #Clinical ... #Cardiology #ECG ... #EKG #UWaves #Hypokalemia
Algorithm for patients with hypokalemia on the basis of the potassium-to-creatinine ratio in the urine
Urine K+
patients with hypokalemia ... the basis of the potassium-to-creatinine ... creatinine) • Cell shift ... effective arterial blood ... #urine #potassium
Hyperkalemia Differential Diagnosis Algorithm
R/O Pseudo-hyperkalemia:
 • Possible Lab error! Alwavs Repeat Blood sample!
 • Leukocytosis, Thrombocytosis:
Alwavs Repeat Blood ... while drawing blood ... TTKG should be high ... Diagnosis #Algorithm #causes ... #potassium #high
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Crush injury • Blood ... Intracellular Shift ... differential #diagnosis #causes ... #potassium #high
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 ... Benyzlpenicillin, blood ... #pharmacology #potassium
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
treated with IV potassium ... wasting from other causes ... urinary losses: • High ... Blood Pressure: ... • Low/Normal Blood
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
phlebotomy High ... Crush injury • Blood ... Intracellular Shift ... differential #diagnosis #causes ... #potassium #high
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... Dialysis Serum potassium ... and ECG changes ... blocks, QRS axis shift ... #potassium #high
Flecainide Toxicity on ECG

70 year old patient with chronic atrial fibrillation on an antiarrhythmic presented with
Flecainide Toxicity on ECG ... presented with nausea ... Potassium normal ... Flecainide #Toxicity #ECG ... #Cardiology #Clinical
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... mmol/L - Consider cause ... Treatment guided by clinical ... scenario, ECG and ... Gluconate IV Shift