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Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... Weakness, cramping, nausea ... hyperK periodic paralysis ... only if no clear cause ... #Treatment #potassium
Causes of Hyperkalemia

Hyperkalemia is caused by excess potassium intake, impaired potassium excretion, or transcellular shifts. The
Causes of Hyperkalemia ... Hyperkalemia is caused ... by excess potassium ... intake, impaired potassium ... rarely the sole cause
Potassium Electrolyte Repletion
If patient also has hypomagnesemia, replete magnesium before repleting potassium
Oral:
 • Pills (ask pharmacy
Potassium Electrolyte ... before repleting potassium ... Intravenous (can cause ... SatyaPatelMD #Potassium ... Electrolyte #Repletion #management
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
arrhythmias and paralysis ... treated with IV potassium ... wasting from other causes ... suggests extra-renal causes ... #differential #potassium
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
Hypokalemic periodic paralysis ... Diagnosis #Low #Potassium ... Classification #Causes
Hyperkalemia Hypokalemia - Differential Diagnosis and Management Algorithm

Dr Pravin Patel

#Hypokalemia #Hyperkalemia #potassium #differential #diagnosis #management
Diagnosis and Management ... #Hyperkalemia #potassium ... differential #diagnosis #management
Bell's palsy
There are many different causes of Facial Nerve Palsy. However, the commonest
cause of unilateral facial
many different causes ... the commonest cause ... unilateral facial paralysis
Causes of Hyperkalemia - Differential Diagnosis Algorithm
 • Increased Intake
 • Reduced Excretion (IV potassium with
Causes of Hyperkalemia ... Excretion (IV potassium ... Diagnosis #Algorithm #Causes
Checklist Approach to Hypokalemia

Consider risk factors for arrhythmia:
 - EKG changes (especially QT prolongation)
 - Digoxin
safely, whereas potassium ... Consider target potassium ... Enteral potassium ... Intravenous potassium ... #Hypokalemia #Management
Here’s a review of the Renin-Angiotensin-Aldosterone system (RAAS)

This is a very common pathway that clinicians should
with excreting potassium ... sodium, which causes ... inhibiting drug classes ... will increase potassium ... , which is why potassium