Hyperkalemia
Life threatening hyperkalaemia (> 7.0 mmol/l ) is commonly associated
with acute renal failure. Moderate hyperkalaemia ( 6.1–6.9 mmol/l ) is
also common and well tolerated in patients with chronic renal failure.
Renal failure is the most common cause of hyperkalaemia although other causes to consider include drugs (potassium sparing diuretics, angiotensin converting enzyme inhibitors), hyperglycaemia, rhabdomyolysis and adrenal insufficiency.
Hyperkalaemia affects the cardiac conducting tissue and can cause serious arrhythmias including ventricular fibrillation and asystolic arrest.
Therefore it is important to treat hyperkalaemia promptly in the emergency department
The most common treatment for hyperkalemia is insulin 10 units in 50 ml glucose and calcium gluconate
https://emj.bmj.com/content/17/3/188 has a great article which discusses different treatments and their efficacy
Osmosis on line has a great video which you can find here
Renal failure is the most common cause of hyperkalaemia although other causes to consider include drugs (potassium sparing diuretics, angiotensin converting enzyme inhibitors), hyperglycaemia, rhabdomyolysis and adrenal insufficiency.
Hyperkalaemia affects the cardiac conducting tissue and can cause serious arrhythmias including ventricular fibrillation and asystolic arrest.
Therefore it is important to treat hyperkalaemia promptly in the emergency department
The most common treatment for hyperkalemia is insulin 10 units in 50 ml glucose and calcium gluconate
https://emj.bmj.com/content/17/3/188 has a great article which discusses different treatments and their efficacy
Osmosis on line has a great video which you can find here
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