causes - conditions
AKI CKD rhabdomyolysis adrenal insufficiency tumour lysis syndrome
causes - medicatons
aldosterone antagonists - spironolacotne ACEI angiotensin II blockers NSAIDs K supplements
ECG changes
tall peaked T waves
flat/absent p waves
broad QRS
pt of potassium 6 or less with otherwise stable renal funciotn
dont need urgent treatment, maybe change in medication
patient with potassium of 6 or more and ECG changes
need urgent treatment
paient with potassium 6.5 or more
urgent treatment regardless of ECG
mainstay of treatment
insulin and dextrose infusion
calcium gluconate
other options for lowering serum K