13 results
Emergency management of severe hyperkalemia

#hyperkalemia #management #algorithm #nephrology #Potassium #Treatment
management of severe hyperkalemia ... #hyperkalemia ... #management #algorithm ... #nephrology #Potassium ... #Treatment
Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines.

#hyperkalemia #electrolytes #algorithm #emergency #management

Notes:

(1) Up to
Hyperkalemia management ... based on UKKA and KDIGO ... #hyperkalemia #electrolytes ... Up to half of hyperkalemia ... for refractory hyperkalemia
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... to diuretic #hyperkalemia ... #criticalcare #treatment ... diuretics #diuresis #nephrology ... #algorithm
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 • Place on cardiac
KDIGO Treatment ... of acute hyperkalemia ... Consider dialysis #hyperkalemia ... #high #nephrology ... #KDIGO
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Hyperkalemia Treatment ... 90 minutes) • Sodium ... LouLectures #Hyperkalemia ... management #potassium #nephrology
Potassium Binders for Management of Hyperkalemia
 • SPS - Sodium polystyrene sulfonate
 • Patiromer (veltassa)
 •
Management of Hyperkalemia ... • SPS - Sodium ... Binders #Management #Hyperkalemia ... #treatment #pharmacology ... table #comparison #nephrology
Emergent Hyperkalemia Treatment Algorithm
ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... nebulized • Sodium ... not quickly) #Hyperkalemia ... #Treatment #Algorithm
Algorithm for Management of Acute and Chronic Hyperkalemia
Acute Hyperkalemia:
 - IV calcium (10 mL of 10%)
Acute and Chronic Hyperkalemia ... Acute Hyperkalemia ... binders Chronic Hyperkalemia ... optimization) #Hyperkalemia ... Acute #Chronic #treatment
ACEI or ARB Initiation
Hyperkalemia:
 - Review concurrent drugs
 - Moderate potassium Intake
 - Consider: diuretics, sodium
ARB Initiation Hyperkalemia ... Consider: diuretics, sodium ... Initiation #monitoring #algorithm ... #kdigo
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
Family history of hypokalemia ... • Unexplained hypokalemia ... pressure Labs: • Hypokalemia ... Rhabdomyolysis Treatment ... pathophysiology #Hypokalemia