HYPOKALEMIA Flashcards

1
Q

MANAGEMENT

A

Management: Mild (>3) & tolerating PO intake
K rick foods (fruit, vegetables)
Potassium supplements

Management: IV
40 mEq KCL in 500 ml NS over 4 - 6 hrs
Magnesium 20 - 60 mEq /24 hr

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2
Q

DOCUMENTATION

A

CLINICAL FEATURES
Symptoms usually start with concentrations < 2.5
Malaise
Weakness
Fatigue
Nausea
Vomiting
Ileus
Cramps
Tetany
Paresthesias
Hyporeflexia

ECG
Increased P wave amplitude
Prolongation of PR interval
Widespread ST depression and T wave flattening/inversion
Prominent U waves (best seen in the precordial leads V2-V3)
Apparent long QT interval due to fusion of T and U waves (= long QU interval)

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3
Q

DDX

A

Decreased Intake
GI Loss
Renal Loss
Sweat Loss
Transcellular Shift

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