Hyperkalemia

Question 1

Hyperkalemia meds

Answer 1

CB BIG KID

Calcium gluconate/chloride
Beta agonist

Bicarb
Insulin
Glucose

K binding agent
IVF
Diuretics/diuresis

Question 2

Calcium gluconate (hyper K)

Answer 2

60-100mg/kg slow
- usual dose = 1-3g for cardiac membrane stabilization
- can go in peripheral line

Question 3

Calcium chloride dose (hyper K)

Answer 3

20mg/kg (slow)
- usual dose = 1g
- alternate to calcium gluconate - if you have a central line

Question 4

Beta agonst dose (hyper K)

Answer 4

Albuterol 10-20mg over 20-60 min
- this is the fastest shifting agent

Question 5

Bicarb dose (hyper K)

Answer 5

Starting dose: 1 amp or 1mEq/kg
- 50 mEq/amp

This is controversial - consider if they have acidosis

Question 6

Insulin dose (hyper K)

Answer 6

5-10 units reg insulin IV bolus (0.1 U/kg)

Question 7

Glucose dose (hyper K)

Answer 7

1-2 amps D50w insulin to start

Question 8

K-binding agent (hyper K)

Answer 8

More likely to be started on the floor
Lokelma or patiromer
Kayexalate (SPS) not used anymore

Question 9

Diuretics dose (hyper K)

Answer 9

20-40mg Lasix IV push

Question 10

Dialysis for hyper k

Answer 10

Can be used instead of lasix