Electrolyte disturbance Flashcards
1
Q
K 6-6.5
ECG normal
A
Calcium resonium 15 g PO QID and lactulose 15 mL PO
2
Q
K >6.5 or ECG changes
A
Calcium gluconate 10% 10 mL over 5 minutes
repeat in 10 minutes if ECG changes persist
Insulin 10 units actrapid + 10% glucose 500 mL Iv over 60-120 min
Salbutamol 10 mg in 4 mL NaCl 0.9% nebs over 10 min
3
Q
Severe symptomatic hypocalcaemia
A
Calcium gluconate IV 10 mL 10% over 5 ming
or continuous infusion
4
Q
Oral for hypocalcaemia
A
1-2g elemental
Calcitriol 0.25-1 mcg daily in divided doses
5
Q
Mild asymptomatic hypokalaemia (3-3.5)
A
Potassium chloride SR (span K) 1-2 tab TDS Potassium effervescent (chlorvescent) 1 tab BD/TDS
6
Q
Severe/symptomatic hypokalaemia (<3)
A
40 mmol potassium chloride 3-4 times over 24 hours 6-12 hour K monitoring
7
Q
Mild/mod hypomagnesaemia 0.5-0.7
A
Go Magnesium 800 2-3 capsules daily in divided doses
8
Q
Severe hypomagnesamia <0.5
A
IV
