Hyperkalemia/Renal Dialysis

Question 1

Can IV access be made through a dialysis shunt?

Answer 1

Yes if other attempts in other areas have been made and were unsuccessful

Question 2

If a renal dialysis patient has a 3-D arrhythmia with a wide QRS complex and a pool, what drug should they be given?

Answer 2

Calcium Gluconate- 10 ml IV/IO
Sodium Bicarb- 1 mEq/kg
Albuterol- 2.5 mg every 5 min

Question 3

What drugs should be given to a renal dialysis patient who is in cardiac arrest outside of the normal drugs used in a code?

Answer 3

Calcium gluconate- 10 ml
Sodium bicarb- 1 mEq/kg
Albuterol- 2.5 mg

Question 4

Blood pressure or IV attempts on a patient who is in renal dialysis should not be done where?

Answer 4

Same area as dialysis access