Algorithm for Management of Acute and Chronic Hyperkalemia Acute Hyperkalemia: - IV calcium (10 mL of 10%) - IV insulin/glucose (10 U + 50 mL dextrose) - Nebulized salbutamol (20 mg in 4 mL) - IV sodium bicarbonate, Diuretics, Hemodialysis - Consider K+ binders Chronic Hyperkalemia: - Dietary K+ counseling (avoid salt substitutes) - Manage RAASi therapy (reinitiate and titrate to optimal dose after serum K + stabilizes) - Effective diuretic therapy (loop diuretics with eGFR <30 mL/min) - Oral sodium bicarbonate - Consider binders (may facilitate RAASi dose optimization) #Hyperkalemia #Algorithm #Management #Acute #Chronic #treatment #nephrology
