17 results
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... - 6.4 mmol/L - Treatment ... clinical scenario, ECG ... Gluconate IV Shift ... #Hyperkalemia #management
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Algorithm ECG ... injury, etc) ECG ... cardiac membrane Shift ... Remove potassium ... #Algorithm #Management
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
depletion • Consider K+ ... and ECG changes ... blocks, QRS axis shift ... #high #diagnosis ... #treatment
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... • Order a STAT EKG ... stabilize heart if EKG ... minutes-hour) -Shift ... #treatment #potassium
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... and Management ... heparinized tube) • ECG ... #Management #Treatment ... #potassium #nephrology
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
Hyperkalemia Typical ECG ... • Aggressive treatment ... ↑HR and drives K+ ... BRASH #Syndrome #diagnosis ... #management #pathophysiology
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity - Diagnosis ... High Lactate, Low Potassium ... Salicylate Level: 150mg/kg ... 4.5 mmol/L 4) K ... #management #Treatment
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
KDIGO Treatment ... algorithm for management ... monitor 12-lead ECG ... depletion • Consider K+ ... #potassium #high
Medications for the Treatment of Hyperkalemia
The goals of acute treatment are to prevent potentially life-threatening cardiac
goals of acute treatment ... disturbances, shift ... hyperkalemia, changes on ECG ... algorithm for the management ... #Management #Medications
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
organ damage • Treatment ... values: Elevated K, ... unless worrisome EKG ... Syndrome #TLS #diagnosis ... #management #hematology