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diagnosis management treatment medications cad differential druginduced high hypokalemia k nephrology pathophysiology perioperative pharmacology preop preoperative risk stratification stresstest
Mechanisms of Drug-Induced Hyperkalemia • Direct renin inhibitor (Aliskiren) • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... Angiotensin-converting enzyme (ACE ... Heparin) • Sodium-channel ... • Increased EC ... #pharmacology #potassium
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... ECG changes, weakness ... changes? ... treatment Remove potassium
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV ... Dialysis Serum potassium ... and ECG changes ... #potassium #high
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
eliminate excess potassium ... reduce dietary potassium ... , changes on ECG ... Figure 3 is an algorithm ... , and Table 3 summarizes
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 Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation begins ... palpitations, changes ... electrocardiography (ECG ... depletion impedes potassium ... #Evaluation #Algorithm
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 Algorithm for choosing the appropriate candidate for stress testing in patients with suspected coronary artery disease
Algorithm for choosing ... metabolic equivalent; ECG ... guidelines for the evaluation ... of stable angina ... #ACS #stresstest
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Preoperative Risk Evaluation ... dependent DM ACS ... algorithm to determine ... Change in clinical ... if result will change
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... Elimination (see Table ... - IVF as ... K-Binding Resins - Exchanges ... Management #Treatment #potassium
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