Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider bicarbonate if acidosis without volume overloads • Consider IV furosemide unless anuric ESKD or severe volume depletion • Consider K+ binder • Consider Dialysis Serum potassium and ECG changes • 5.5-6.5 mmol/l - Tall, "peaked" T waves with narrow base, best seen in precordial leads • 6.6-8.0 mmol/l - Peaked T waves, Prolonged PR interval, Decrease amplitude of P waves, Widening of QRS complex • >8.0 mmol/l - Absence of T wave, Intraventricular blocks, fascicular blocks. bundle branch blocks, QRS axis shift, Progressive widening of QRS resulting in bizarre morphology, "Sine wave" pattems (sinoventricular rhythm), VF, asystole #hyperkalemia #potassium #high #diagnosis #management #algorithm #treatment
