Hyperkalemia Differential Diagnosis Algorithm
R/O Pseudo-hyperkalemia:
 • Possible Lab error! Alwavs Repeat Blood sample!
 • Leukocytosis, Thrombocytosis: cells lyse as sample is analyzed, releasing K+ into serum.
 • Excessive fist clenching + tourniquet while drawing blood (ischemia-induced RBC hemolysis)
 • RBC Hemolysis in the sample (rare)
*TTKG should be high (>7) - principal cells should be trying to excrete more K+ to reduce plasma [K+]

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