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Management Algorithm for Adults with Hyperkalemia (K> 5.5 mEq/L) *All disposition and treatment recommendations should account for local standards of care and should not supersede the clinical judgement of the treating physician. Recommended Doses for Acute Care Settings: Calcium Gluconate: 1 gram; Calcium Chloride: 1 ampule.
There is a need to improve effective management of hyperkalemia, including classification and K + monitoring, when to reinitiate previously discontinued renin-angiotensin-aldosterone system inhibitor (RAASi) therapy, and when to use oral K + -binding agents.
Hyperkalemia is a common clinical problem that is most often a result of impaired urinary potassium excretion due to acute or chronic kidney disease (CKD) and/or disorders or drugs that inhibit the renin-angiotensin-aldosterone system (RAAS).
Summarize the treatment options and order of treatment for hyperkalemia. Outline the importance of improving care coordination among interprofessional team members to improve outcomes for patients affected by hyperkalemia.
Initial Considerations. Causes - high K+ intake, high production or low excretion. Check fluids being infused & enteral intake. Omit drugs that can cause hyperkalaemia: ACEI, Angiotensin II blockers, K sparing diuretics and β blockers. Senior /Specialist Renal physician/NECTAR support.
An unmet need exists for new hyperkalemia management guidelines that effectively incorporate classification and moni-toring for hyperkalemia, optimization of renin-angiotensin-aldosterone system inhibitor (RAASi) therapy, and use of the newer potassium (Kþ) binders.
This article summarizes information on available therapies for hyperkalemia and proposes a hyperkalemia treatment algorithm for the ED practitioner based on the currently available literature and highlights diagnostic pitfalls and evidence gaps.
Hyperkalemia is a common clinical problem that is most often a result of impaired urinary potassium excretion due to acute or chronic kidney disease (CKD) and/or disorders or drugs that inhibit the renin-angiotensin-aldosterone system (RAAS). Therapy for hyperkalemia due to potassium retention is ultimately aimed at inducing potassium loss [1-3].
MicroED. July 15, 2022. Hyperkalemia Algorithm. In this video, Dr. Neuenschwander dives deeper into the various treatment options available for Hyperkalemia and summarizes the Management Algorithm for Adults with Hyperkalemia.
Treatment algorithm for management of acute hyperkalemia in the emergency department. The thresholds for actions are opinion based. Suggested drug doses are based on a 2010 systematic review and a subsequent observational study .