PPT-Hyperkalemia Tutorial

Hyperkalemia is the most dangerous acute electrolyte emergency Which symptom is not generally an indication of hyperkalemia Refer to ED lecture series and self directed workbooks Hyperkalemia. 20. Einstein EM Case Presentation. Case . History. CC: . 67yo male . BIBEMS after a social worker visited him and reported he was acting lethargic. HPI: . - . Pt. speaks slowly and appears lethargic but is A&Ox3 and doesn’t understand why the social worker activated EMS. . of Developments in the Management of Hyperkalemia. Program Goals. Recent Clinical Trial Data on Potassium Binders: Patiromer. OPAL-HK . Phase 3 Pivotal Study Design. OPAL-HK . Initial Treatment Phase. Overview of Hyperkalemia. RAAS Inhibitor Use and Risk of Hyperkalemia. Diagnostic Workup. Causes of Hyperkalemia. Diagnostic Workup. Electrocardiographic Features. Acute Treatment of Hyperkalemia. Increasing Incidence of Hyperkalemia. This presentation was . funded by and created . in . collaboration . with . Relypsa. Agenda. Pathogenesis of Hyperkalemia. Evaluation of Hyperkalemia. Hyperkalemia Management. Learning Objectives. Describe the pathophysiology of hyperkalemia. Normal Potassium Homeostasis. Normal Kidney Potassium Handling. Causes of Hyperkalemia. Pseudohyperkalemia. Consequences of Hyperkalemia . Hyperkalemia in CKD. Prevalence of Hyperkalemia in Patients With CKD Who Are Not on Dialysis. Electrolyte and Metabolic Abnormalities. Potassium. Hyperkalemia. The earliest effect usually is narrowing . and peaking . (or tenting) of the T wave. . The . QT interval is shortened at . this stage. . ghazal. . K level >5 . meq. /l . Level >6 . meq. /l can cause fatal arrhythmias.. Slow increase in K is better tolerated .. Signs and symptoms of hyperkalemia :. Muscle weakness . MD. ASSOCIATE PROF.. DEPARTMENT . OF . MEDICINE, KGMU. . Hyperkalemia. . MCQs. . 1.Hyperkalemia can occur in all except---. a) Insulin Deficiency. b. ) Metabolic Acidosis . c. ) Acute Renal Failure. Insulin causes rapid shift of potassium from extracellular to intracellular space. Concurrent use of IV dextrose . D50 to. counteract the hypoglycemic effect of insulin. Up to 50% of patients with end stage renal disease (ESRD) who are treated with insulin and glucose develop hypoglycemia. Crush Injuries Cindy Goodrich RN, MS, CCRN Airlift Northwest Case Presentation • Called to isolated logging road • MVC: logging truck vs tree Arrival to Scene Logging Truck vs Tree • 57 y/o ma 592Nephrology Fonim: Hyperkalemic hyperchloremic metabolic acidosisincreased activity of the apical sodium-selective channel; withtime, aldosterone also increases the activity of the basolateralNa '-K DRD equation from outside lab recordswas persistently in the range of 72 to 81ml/min. Outside urinary sodium levels were consistently below 20 meq/L. When pressed about his diet, he reported being 3/21/2019 1 Hypokalemia Critical Care in the ED March 21 st , 2019 Hannah Ferenchick, MD No financial disclosures 1 2 3/21/2019 2 Outline : 1. Hyponatremia • Diagnosis • Initial treatment 2. Hy , MD. Professor of Internal Medicine . UT Southwestern Medical Center. Dallas, Texas. Robert Toto. , MD. Associate Dean. Clinical and Translational Research . Director, Center for Translational Medicine .