Hyperkalaemia (0)

Question 1

Causes of hyperkalaemia?

Answer 1

AKI 
CKD 
Rhabdomyolysis 
Adrenal insufficiency 
Tumour lysis syndrome 
Aldosterone agonists 
ACEis 
ARBs 
NSAIDs 
K supplements

Question 2

Investigation for hyperkalamiea?

Answer 2

-U&Es

ECG signs

Question 3

Management of hyperkalaemia?

Answer 3

-ECG monitoring
If K+ is <6mmol/L with stable renal function doesn’t need urgent treatment

• If patient has K+ >6 mmol/L and ECG changes needs urgent treatment
• If patient has >6.5mmol/L need urgent treatment regardless of ECG

Question 4

Options for lowering serum K+?

Answer 4

• Nebulised salbutamol drives K+ into cells
• IV fluids
• Oral calcium resonium
• Sodium bicarbonate
• Dialysis