8/27/2013 2:52:13 PM

• Normal K+ range 3.5 - 5.5


• Cause of hyperkalemia
➢ Acidosis, aldosterone deficiency, ACE inhibitors, ARBS
➢ Beta-blocker
➢ Crush injury,
➢ Digitalis, insulin deficiency
➢ Renal, RTA type IV

Frequently tested

• Management:

• Initial step get EKG

➢ If EKG shows peaked T, no P and prolong PR

- Treatment:

- 1st step, calcium gluconate (stabilizes the cardiac cell membrane) followed by IV Insulin + glucose

➢ If EKG is normal:

- Treatment:

- IV Insulin (drives K+ into the cell) + Glucose (given to prevent hypoglycemia)
- IV Sodium Bicarbonate (Shifts K+ into the cell)
- Kayexelate (removes potassium from the body)

• If all of the above measures fail – Tx. (please check out the book for further details)

Below is the link to this book, click to the reviews and look inside

or go to:

Amazon and search "Next step in management USMLE STEP 3"
Google search " Next step in management USMLE Step 3

Copyright material : No part may be reproduced, reused, published, photocopying, recording, or transmitted in any form, or stored in a database or retrieval system, without written permission

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