9 results
Hyperkalemia Management Algorithm
 • Treat the cause & optimize hemodynamics and ventilation
 • Reconsider treatment leadingto
• Treat the cause ... • Reconsider treatment ... Intracellular K+ Shift ... #treatment #potassium ... #high
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Hyperkalemia - Management Algorithm ... Dialysis Serum potassium ... blocks, QRS axis shift ... #high #diagnosis ... #treatment
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Potassium-Binding ... patients sensitive to high ... of aspiration #Potassium ... #medications #pharmacology ... #table #comparison
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... Clenching of fist during ... phlebotomy High ... Intracellular Shift ... #causes #potassium
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
- Differential Diagnosis ... Clenching of fist during ... phlebotomy High ... Intracellular Shift ... #causes #potassium
Lactated Ringers (LR) vs Normal Saline (NS) - Comparison

Composition of LR:
 • Sodium 130 mEq/L
 •
Saline (NS) - Comparison ... 130 mEq/L • Potassium ... transcellular shift ... densa receives high ... #pharmacology #
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... then be excreted using ... the determined cause ... #algorithm #management ... icu #clinical #pharmacology
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
warranting urgent treatment ... transcellular shifts ... depletion impedes potassium ... #Diagnosis #Hypokalemia ... #Evaluation #Algorithm
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
extraction is so high ... treat the primary cause ... Even during the ... #diagnosis #algorithm ... criticalcare #foamed #treatment