Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 β€’ IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 β€’ IV Fluids
Shift
Hyperkalemia Treatment ... Fluids Shift potassium ... LouLectures #Hyperkalemia ... #management #potassium ... #nephrology
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... #kaliuresis #management ... #criticalcare #treatment ... diuretics #diuresis #nephrology ... #algorithm
Hyperkalemia - Management Algorithm
 β€’ IV calcium
 β€’ IV insulin and glucose and/or salbutamolt
 β€’ Consider
Hyperkalemia - Management ... Algorithm β€’ IV ... Dialysis Serum potassium ... #potassium #high ... #algorithm #treatment
Hyperkalemia Management Algorithm
 β€’ Treat the cause & optimize hemodynamics and ventilation
 β€’ Reconsider treatment leadingto
Hyperkalemia Management ... Algorithm β€’ Treat ... β€’ Reconsider treatment ... #Management #Algorithm ... #treatment #potassium
Potassium Binders for Management of Hyperkalemia
 β€’ SPS - Sodium polystyrene sulfonate
 β€’ Patiromer (veltassa)
 β€’
Potassium Binders ... for Management ... of Hyperkalemia ... treatment #pharmacology ... table #comparison #nephrology
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
β–Ί
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 β€’ IV NS IL bolus then infusion
Preventative Therapy Algorithm ... 20 mg/min -> Neurology ... #management #algorithm ... #treatment #prevention ... #prophylaxis #neurology
KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department
 β€’ Place on cardiac
KDIGO Treatment ... algorithm for management ... #management #algorithm ... #treatment #potassium ... #high #nephrology
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
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... cause aspiration, hyperkalemia ... #Management #Neurology ... Refractory #Seizures #Algorithm