Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach • MILD K+ 5.5 - 5.9 mmol/L - Consider cause and if treatment indicated • MODERATE K+ 6.0 - 6.4 mmol/L - Treatment guided by clinical scenario, ECG and rate of rise • SEVERE K+ ≥ 6.5 mmol/L - Emergency treatment indicated Protect the Heart • Calcium Chloride OR Calcium Gluconate IV Shift K+ into cells • Insulin–Glucose IV Infusion • Salbutamol 10-20 mg Nebulised Remove K+ from body • Consider Calcium Resonium • Consider Dialysis Monitor K+ and Blood Glucose - Monitor serum K+ and blood glucose Prevention - Consider cause of hyperkalaemia, prevent further rise and recurrence #Hyperkalemia #management #algorithm #treatment
