Hyperkalemia resident survival guide: Difference between revisions

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* [[Acute Renal Failure]]
* [[Acute Renal Failure]]
* [[Rhabdomyolysis]]
* [[Rhabdomyolysis]]
* [[rapid tissue necrosis]]
* [[Rapid tissue necrosis]]
* [[Tumor Lysis syndrome]]
* [[Tumor Lysis syndrome]]
* [[Metabolic acidosis]]
* [[Metabolic acidosis]]

Revision as of 19:07, 19 July 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; associate editor-in-chief: Mahmoud Sakr, M.D. [2]

Definition

Hyperkalemia is best defined as a serum potassium concentration greater than 5.5 mEq/L in adults; levels higher than 7 mEq/L can lead to significant hemodynamic compromise

Causes

Life-Threatening Causes

Immediate life-threatening causes are conditions which result in immediate death or disability if left untreated.

Common Causes

Management

Please find below an algorithm that summarizes the approach to chest pain.

 
 
 
 
 
 
 
 
Check vital signs
Stabilize the patient
Order an EKG
Concise history and physical exam
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Assess EKG
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
EKG consistent with ACS
 
 
 
 
 
 
 
 
 
 
EKG not consistent with ACS
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Order a CXR
 
 
 
 
 
 
 
 
STEMI
Revascularization
 
 
NSTEMI
Risk stratification
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Pneumothorax
 
 
 
Aortic dissection
 
 
 
No significant findings on CXR
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Control BP
Obtain a CT scan
Emergent surgery consult
 
 
 
Assess the pretest probability
forpulmonary embolism
 

Do's and Don'ts

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