Dr. Gerald Diaz @GeraldMD
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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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diagnosis nephrology epilepticus gastroenterology high neurology status criticalcare crohns disease ibd acute anesthesia anesthesiology bradycardia convulsive hypercalcemia hypokalemia intraoperative malignancy
Hyperkalemia Management Membrane Stabilizers: • Calcium gluconate Shifters: • Insulin + glucose • Albuterol Excreters: • Furosemide • Sodium
Hyperkalemia Management ... Medicine @ucsdim #Hyperkalemia ... #Management #Treatment ... #Potassium
Checklist Approach to Hypokalemia Consider risk factors for arrhythmia: - EKG changes (especially QT prolongation) - Digoxin
Checklist Approach ... to Hypokalemia ... route = severe hypokalemia ... Critical Care #Checklist ... #Hypokalemia #Management
Hyperkalemia Treatment Options Stabilize cardiac membrane: • IV Calcium (peaks 5-10 minutes) Decrease potassium concentration: • IV Fluids Shift
Hyperkalemia Treatment ... minutes) Decrease potassium ... Fluids Shift potassium ... LouLectures #Hyperkalemia ... #management #potassium
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
Hyperkalemia - Management ... Algorithm • IV ... Dialysis Serum potassium ... #potassium #high ... #algorithm #treatment
Hyperkalemia Management Algorithm • Treat the cause & optimize hemodynamics and ventilation • Reconsider treatment leadingto
Hyperkalemia Management ... Algorithm • Treat ... • Reconsider treatment ... #Management #Algorithm ... #treatment #potassium
Emergency Management of Hyperkalemia in Adults Assess Patient - Airway Breathing Circulation Disability Exposure (ABCDE) Approach •
Emergency Management ... of Hyperkalemia ... Consider cause of hyperkalaemia ... recurrence #Hyperkalemia ... #management #algorithm
Treatment of hyperkalemia via kaliuresis step 1 = volume resuscitation if hypovolemic step 2 = consider fludrocortisone step
Treatment of hyperkalemia ... to diuretic #hyperkalemia ... #kaliuresis #management ... #criticalcare #treatment ... diuresis #nephrology #algorithm
Medications for the Treatment of Hyperkalemia The goals of acute treatment are to prevent potentially life-threatening cardiac
goals of acute treatment ... Figure 3 is an algorithm ... for the management ... #Management #Medications ... Treatment
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 Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Disease - IBD Algorithm ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management ... #treatment
Emergent Hyperkalemia Treatment Algorithm ECG changes, weakness, K+ >6.5 Or renal insufficiency with K >5.5 with cellular
Emergent Hyperkalemia ... Treatment Algorithm ... Remove potassium ... #Treatment #Algorithm ... #Management
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