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diagnosis algorithm hyperkalemia criticalcare clinical differential hematology amiodarone anesthesia anesthesiology blood bradycardia checklist chf comparison complexes crystalloids digoxin echocardiogram effects
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... • Treat the cause ... Intracellular K+ Shift ... #treatment #potassium ... #high
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... and ECG changes ... blocks, QRS axis shift ... #potassium #high ... #algorithm #treatment
Digoxin Pharmacology and Pathophysiology 1) Na/K ATPase Pump - Digoxin works by directly binding to and inhibiting
Digoxin Pharmacology ... intracellular calcium causes ... high potassium levels ... (or low potassium ... Pathophysiology #cardiology
Hyperkalemia Management Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... minutes-hour) -Shift ... or dialysis • SLOW ... #Management #treatment ... #potassium #high
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... electrocardiography (ECG ... Most cases of hypokalemia-induced ... transcellular shifts ... depletion impedes potassium
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 Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
and Management ... heparinized tube) • ECG ... only if no clear cause ... acidosis) • Low ... #Treatment #potassium
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
immature blasts and high ... WBC count cause ... , Elevated Cr, Low ... hydration - Hyperkalemia ... TLS #diagnosis #management
The crusade against “Ab”Normal Saline continues. This is a non-physiologic fluid that can harm our
we introduce a high ... causes Hyperkalemia ... #foamed #criticalcare ... #management #diagnosis ... #treatment #pharmacology
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison Composition of LR: • Sodium 130 mEq/L •
130 mEq/L • Potassium ... Is Dangerous in Hyperkalemia ... transcellular shift ... densa receives high ... NS #comparison #pharmacology
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
Hypomagnesemia • Hypokalemia ... classified as: • Low ... percent PVCs/day • High ... more intensive treatment ... #differential #cardiology
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