Hyperkalaemia Management

Question 1

At what point is hyperkalaemia classed as severe and requires immediate treatment?

Answer 1

> =6.5mmol/l

Question 2

If potassium is raised but below 6.5, what should be done next?

Answer 2

ECG

Question 3

What drug is given first to stabilise the cardiac membrane?

Answer 3

IV calcium gluconate

Question 4

What is given to shift potassium back into cells short term?

Answer 4

IV insulin and dextrose
+/- nebulised salbutamol

Question 5

What further management can be considered for hyperkalaemia?

Answer 5

stop exacerbating drugs e.g. ACE inhibitors
treat any underlying cause

lower total body potassium:
calcium resonium (orally or rectally)
loop diuretics
dialysis