Causes
excess intake renal failure drugs hypoaldosteronism cell death acidosis (K increase 0.7 with each 0.1 drop in pH)
S/S
weakness, flaccid paralysis
abdominal distention
diarrhea
ECG changes for 50% of patients with K > 6.5
no ECG changes
Classic ECG changes
tall peaked T waves
Mgmt
Kayexalate
Mgmt if > 6.5 or cardiac toxicity or muscle paralysis is present
Insulin
10 U with one amp D50