Adult Hyperkalaemia Flashcards
1
Q
In Hyperkalaemia what are significant risk factors (3things)
A
- Rhabdomyolysis
- Severe crush injury
- Renal failure
2
Q
What are some ECG changes in hyperkalaemia?
A
- Peaked T waves
- Brady cardia
- Sine wave
- Absent P waves
- Prolonged PR interval
- Wide QRS
3
Q
How is Hyperkalaemia Identified in the setting of pre-hospital?
A
- Significant risk factor
WITH - Progressive of clinically correlated ECG changes
4
Q
Where should a patient with suspected Hyperkalaemia be Transported to?
A
- Hospital with an ICU
5
Q
What are the care objectives of hyperkalaemia?
A
- Identification of patients with suspected hyperkalaemia
- Stabilisation of cardiac membrane
- Intracellular shifting of potassium
- Where feasible, transfer to facility with ICU
6
Q
What are some historical features of Renal Failure?
A
- Known renal failure
- Receiving dialysis
- Known reduced estimated glomerular filtration rate (eGFR)
7
Q
What are some historical features of cellular potassium release?
A
- Rhabdomyolysis
- Severe metabolic acidosis
- Severe crush injury
- Severe Burns
8
Q
What are some characteristics of drug-induced hyperkalaemia?
A
- Amiloridem Spironolactone
- Enalapril, lisinopril, perindopril, ramipril
- Candesartan, Losartan
- Trimethoprim (Abx)
- Ciclosporin (Abx)
