15 results
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Emergency Management ... mmol/L - Consider cause ... clinical scenario, ECG ... Gluconate IV Shift ... #management #algorithm
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management ... depletion • Consider K+ ... and ECG changes ... blocks, QRS axis shift ... #diagnosis #management
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... • Recent IV potassium ... Intracellular Shift ... #causes #potassium ... #high #nephrology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... • Recent IV potassium ... Intracellular Shift ... #causes #potassium ... #high #nephrology
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Treatment Algorithm ECG ... injury, etc) ECG ... cardiac membrane Shift ... treatment Remove potassium ... Treatment #Algorithm #Management
Hyperkalemia Management
Pseudohyperkalemia: 1. Hemolyzed sample 2. Blood drawn from a site/line where potassium or TPN is
Hyperkalemia Management ... site/line where potassium ... • Order a STAT EKG ... stabilize heart if EKG ... minutes-hour) -Shift
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm
Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Intercellular Shift ... Transcellular Shift ... • Cell Lysis (e.g ... Decreased Na+-K+
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... heparinized tube) • ECG ... #Diagnosis #Management ... #Treatment #potassium ... #nephrology #K
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
of acute hyperkalemia ... monitor 12-lead ECG ... depletion • Consider K+ ... #treatment #potassium ... #high #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Summary Causes ... Shift of extracellular ... Monitor potassium ... #Management #causes