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EMT > 139 Hyperkalemia > Flashcards

139 Hyperkalemia Flashcards

1
Q

What are the INDICATIONS for the HYPERKALEMIA medical directive?

A

Suspected Hyerkalemia
High-Risk hyperkalemia (end-stage renal, dialysis, relevant history)
+
Cardiac arrest
Pre-arrest with ECG changes

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2
Q

What are the CONTRAINDICATIONS for CALCIUM GLUCONATE in the HYPERKALEMIA Medical Directive?

A

Allergy or sensitivity
IV not patent
Avoid Saline locks

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3
Q

What are the CONDITIONS for CALCIUM GLUCONATE in the HYPERKALEMIA Medical Directive?

A

Over 18 years old

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4
Q

What is the INTERVAL of ADMINISTRATION for CALCIUM GLUCONATE in the HYPERKALEMIA Medical Directive?

A

2-3 minutes

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5
Q

What is the DOSE for CALCIUM GLUCONATE in the HYPERKALEMIA Medical Directive?

A

1 g (10ml)

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6
Q

What is the dosing INTERVAL for CALCIUM GLUCONATE in the HYPERKALEMIA Medical Directive?

A

5 minutes

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7
Q

How MANY doses can you give for CALCIUM GLUCONATE in the HYPERKALEMIA Medical Directive?

A

2*, 3rd after 30 minutes if symptoms improve then reoccur

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8
Q

What is the ROUTE of administration for CALCIUM GLUCONATE in the HYPERKALEMIA Medical Directive?

A

IV/IO/CVAD

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9
Q

What are the CONTRAINDICATIONS for SALBUTAMOL in the HYPERKALEMIA Medical Directive?

A

Allergy

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10
Q

What are the CONDITIONS for SALBUTAMOL in the HYPERKALEMIA Medical Directive?

A

Over 18

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11
Q

What is the DOSE for SALBUTAMOL in the HYPERKALEMIA Medical Directive NEB?

A

10mcg

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12
Q

What is the DOSE for SALBUTAMOL in the HYPERKALEMIA Medical Directive MDI?

A

1600mcg

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13
Q

How MANY doses can you give for SALBUTAMOL in the HYPERKALEMIA Medical Directive?

A

2

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14
Q

What is the ROUTE of administration for SALBUTAMOL in the HYPERKALEMIA Medical Directive?

A

MDI/NEB

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15
Q

What drugs can you not mix with Calcium Gluconate?

A

DO NOT: Dopamine (bad for dopamine)
FLUSH WELL: Sodium Bicarb (makes crystals)

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16
Q

What are ECG changes of hyperkalemia

A

Wide/ bizarre QRS (over 120ms)
Peaked T waves
Loss of P waves
QRS with Sine wave

17
Q

Define pre-arrest

A

Symptomatic bradycardia
Altered LOC
Hypotension

18
Q

What does Salbutamol do to Potassium?

A

Moves Potassium into Cells

19
Q

What happens to the action potential threshold in hyperkalemia?

A

Threshold potential decreases

20
Q

Why is Calcium Gluconate given?

A
  1. Decreases cardiac irritability by raising the threshold potential
  2. Stabalizes the cardiac cell membrane
21
Q

What is your rate in a macrodrip set of Caclium Gluconate?

A

1 drop every 8.5 seconds

22
Q

If there is extravasion of the IV after calcium gluconate administration, what must you do?

A

Update nurse at hospital
Patch to BHP

EMT (34 decks)

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