BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG in BRASH: HR 30, peaked T waves, flattening of P waves (Bradycardia out of proportion to other findings of hyperkalemia)

BRASH Treatment:
 • Aggressive treatment of hyperkalemia
 • Consider epinephrine (↑HR and drives K+ intracellularly)
 • If hypovolemic, give IV fluids ("balanced fluids" > normal saline)
 • If on a Ca2+ channel blocker, ß blocker, or digoxin, consider reversal strategy

By Dr. Eric Strong @DrEricStrong

#BRASH #Syndrome #diagnosis #management #pathophysiology 
Dr. Gerald Diaz @GeraldMD · 2 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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