Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift potassium intracellularly: • Insulin + dextrose (peaks 30-60 minutes) • Albuterol (4-8x dose used for bronchodilation) (peaks 90 minutes) • Sodium bicarbonate Potassium excretion: • Urinary (if preserved renal function) - Loop diuretic (often with saline IVF) (peaks minutes) • Stool - Kayexylate +/- lactulose (peaks 1-2h) • Blood - Hemodialysis By Dr. Christian Matar @LouLectures #Hyperkalemia #management #potassium #nephrology
