20 results
Progressive ECG changes with increasing 
hyperkalaemia. 
 (a) Normal 
 (b) Tented T wave (arrow)
Progressive ECG ... changes with increasing ... hyperkalaemia ... #Hyperkalemia # ... Progression #Changes
Textbook progression Of EKG changes in Hyperkalemia. In reality, EKGs are far 
more variable and unpredictable.
Textbook progression ... Of EKG changes ... in Hyperkalemia. ... #Hyperkalemia #Progression ... #EKG #ECG #Electrocardiogram
Typical ECG changes associated with hyperkalemia. 
→ Peaked T wave
→ Wide PR interval, Wide QRS duration,
Typical ECG changes ... associated with hyperkalemia ... changes may not ... #hyperkalemia #ECG ... #changes #progression
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... repolarization; changes ... #Diagnosis #Hyperkalemia ... #EKG #ECG #Changes ... #Progression #Table
Emergency Management of Hyperkalemia in Adults
Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach
 •
Management of Hyperkalemia ... clinical scenario, ECG ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia ... #management #algorithm
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
Algorithm • IV ... depletion • Consider K+ ... potassium and ECG ... changes • 5.5 ... QRS axis shift, Progressive
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 #Algorithm
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 • Mechanism: Preferentially captures K in exchange for
Agents to Treat Hyperkalemia ... desired serum K ... • Mechanism: Exchanges ... calcium for K; ... #pharmacology #table
The crusade against “Ab”Normal Saline continues.  This is a non-physiologic fluid that can harm our
whose positive charges ... is dominated by K+ ... whose positive charges ... Progressive loss ... Hyperkalemia, a
Mechanisms of Drug-Induced Hyperkalemia 
 • Direct renin inhibitor (Aliskiren)
 • Renin release inhibition (NSAIDs, Beta-Blockers)
of Drug-Induced Hyperkalemia ... Heparin) • Sodium-channel ... • Increased EC ... shift of K (Succinylcholine ... MunerMohamed1 #hyperkalemia