Hyperkalemia Flashcards
What defines hyperkalemia
Above 5.5mmol/L
What are the causes of Hyperkalemia due to increased renal excretion
AKI DKA Drugs Hypoaldosteronism Addison's
What drugs can cause hyperkalemia
ACE inhibitor
NSAID
Spiranolactone
Trimethoprim (blocks sodium channels)
What causes hyperkalemia due to increased cellular secretion
Lactic Acid
Insulin deficiency
Rhamdomyolysis
Tumour lysis
What can cause pseuodohypekalemia
Haemolysis
EDTA Contamination
Thrombocytopenia
What are the ECG changes on hyperkalemia
Tall T Petite P (Flat) Long PR Wide QRS Ventricular fibrillation
What is the management for Hyperkalemia
Calcium Gluconate (cardioprotective)
IV Insulin with Dextrose
Salbutomol (Intracellular K+ Shift)
What are the presentations of Hyperkalemia
Fast irregular pulse
Myalgia
What is the pathology of hyperkalemia
High K = Decrease action potential threshold = early depolarisation = abnormal rhythm