Hyperkalemia Flashcards

1
Q

Hyperk treatment

A
IV insulin (10 unit IV insulin bolus) and 50g dextrose 
IV calcium gluconate or chloride 
Sodium bicarb 50-100 mEq IV 
LOOP diuretics -increase K elimination 
Hemodialysis- increase K elimination 
Patiromer Oral suspension
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2
Q

Hyperk s/sx

A

Peaked T waves on ECG ; similar to hypokalemia

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3
Q

BRASH Sydrome stands for:

A
Bradycardia 
Renal failure 
AV node blocker usually due to BB,     verapamil, diltiazem 
Shock 
Hyperkalemia
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4
Q

What is likely to cause bradycardia?

A

Hyperkalemia plus AV nodal blockers

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5
Q

BB cleared by the kidneys

A

Atenolol, nadolol

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6
Q

Bradycardia treatment

A

Mechanism: decrease HR= decrease CO

IV Ca
Epi/isoproterenol infusion at 2-10 mcg/min

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7
Q

Renal treatment

A

Mechanism: decrease BP= decrease RBF= decrease GFR

Increase perfusion
Hold nephrotoxins

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8
Q

AV node blocker treatment

A

Stop the AV blocker

Also stop ACEI/ARBs

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9
Q

Shock treatment

A

Mechanism: decrease CO —> decrease BP

Increase BP WITH pressors or LR or bicarb

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10
Q

Hyperkalemia treatment

A
IV Ca
5 U insulin IV 
Dextrose: glucose <250 
Albuterol 10-20 my nebulized 
IV Diuresis —> key to K elimination 
1. Loop diuretic 
2. Thiazide 
3. +/- acetazolamide 
4. +/- fludrocortisone
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