11 results
EKG showing prominent U waves due to hypokalemia. Serum potassium 2.0. 

#EKG #emergencymedicine #criticalcare #cardiology #internalmedicine
U waves due to hypokalemia ... Serum potassium ... #criticalcare # ... cardiology #internalmedicine ... #EM #diagnosis
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
to Hypokalemia ... route = severe hypokalemia ... /hr for severe hypokalemia ... #Hypokalemia #Management ... #CriticalCare
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
of Hyperkalemia ... disturbances, shift ... redistributive hyperkalemia ... , changes on ECG ... , severe hyperkalemia
Hyperkalemia Management Algorithm
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
Hyperkalemia Management ... leadingto hyperkalemia ... Intracellular K+ Shift ... / Removal #Hyperkalemia ... #potassium #high
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... blocks, QRS axis shift ... , asystole #hyperkalemia ... #potassium #high ... management #algorithm #treatment
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... minutes-hour) -Shift ... @AnnKumfer #Hyperkalemia ... #Management #treatment ... #potassium #high
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... cardiac membrane Shift ... Remove potassium ... not quickly) #Hyperkalemia
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Management of Hypokalemia ... Hypokalemia is ... ), severe hypokalemia ... transcellular shifts ... depletion impedes potassium
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
KDIGO Treatment ... management of acute hyperkalemia ... monitor 12-lead ECG ... Consider dialysis #hyperkalemia ... #potassium #high
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Hypomagnesemia • Hypokalemia ... percent PVCs/day • High ... 300 = NSVT EKG ... more intensive treatment ... #differential #cardiology