Hyperkalemia management algorithm 2023-2024 based on UKKA and KDIGO guidelines. #hyperkalemia #electrolytes #algorithm #emergency #management Notes: (1) Up to half of hyperkalemia patients have a normal ECG including some patients with extreme hyperkalemia. A normal ECG doesn't mean it should no longer be monitored (2) While most patients are asymptomatic, it's important to pay attention to clinical manifestations such as muscle weakness and paresthesias (3) I've added a potassium lowering drug (sodium zirconium cyclosilicate) (4) Due to high % of hypoglycemia, monitoring glucose every 30-60 mins is advised and 50g glucose over 5 hours in patients with < 126 mEq/dL is also administered (5) Many algorithms include 10ml of calcium gluconate but recent UKKA, 2023 guidelines advice 30ml (effective 6.8 mmol calcium) (6) Dialysis must be done in hemodialysis patients with potassium levels of 6.5 mEq. Otherwise for refractory hyperkalemia
