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Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
G-K), K-sparing diuretics ... heparinized tube) • ECG ... improve GFR - Diuresis ... (IV loop diuretic ... - IV loop diuretic
ECG Changes with Potassium Imbalance
 - Normokalemia
 - Hypokalemia
 - Hyperkalemia

#Hypokalemia #Hyperkalemia #ECG #potassium #cardiology #ekg
ECG Changes with ... Normokalemia - Hypokalemia ... - Hyperkalemia ... #Hypokalemia # ... Hyperkalemia #ECG
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... fludrocortisone step 3 = diuretic ... determine response to diuretic ... #hyperkalemia ... #diuresis #nephrology
Causes of Hypokalemia
Transcellular Shifts:
 - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
Causes of Hypokalemia ... ß-Adrenergic agonists, Hypokalemic ... congenital), Thyrotoxic hypokalemic ... , Osmotic diuresis ... or induced) #Hypokalemia
Diuretics sites of action on the nephron
1) Acetazolamide (carbonic anhydrase inhibitor)
2) Osmotic diuretics (e.g. mannitol)
3) Loop
Diuretics sites ... (e.g. mannitol) ... (e.g. furosemide ... (e.g. ... (e.g. spironolactone
Cardiac Arrest - H's and T's

HYPOVOLEMIA 
HYPOXEMIA 
HYPERKALEMIA 
HYPOKALEMIA 
H+ EXCESS
HYPOTHERMIA 

TENSION PNEUMOTHORAX 
TAMPONADE - CARDIAC
H's and T's HYPOVOLEMIA ... HYPOXEMIA HYPERKALEMIA ... HYPOKALEMIA
Hypokalaemia:

The gradual fall in serum potassium level is reflected electrocardiographically by the following features:

1. Gradual decrease
Hypokalaemia: ... Clinical #Cardiology #ECG ... #EKG #UWaves #Hypokalemia
“H’s & T’s“ - The reversible causes of Cardiac Arrest 
Hypovolemia, Hypoxia/Hypoxemia, Hydrogen Ion Excess (Acidosis),
Cardiac Arrest Hypovolemia ... Excess (Acidosis), Hypokalemia ... /Hyperkalemia, Hypothermia
EKG showing prominent U waves due to hypokalemia. Serum potassium 2.0. 

#EKG #emergencymedicine #criticalcare #cardiology #internalmedicine
EKG showing prominent ... U waves due to hypokalemia ... #EKG #emergencymedicine ... Electrocardiogram #ECG
ECG Changes in Hyperkalemia and Treatment
Membrane Stabilization
 - Calcium gluconate or chloride 
Redistribution
 - Insulin
ECG Changes in Hyperkalemia ... Hemodialysis #Hyperkalemia ... Management #Diagnosis #ECG ... #EKG