Hyperkalemia Management in the Acutely Ill

Hyperkalemia, that dreaded page at 4am that makes our hearts race and we rush to our EMR where we click every single order on the order set. We should really be better at getting an EKG on ourselves and thinking through the whole process. Is the sample hemolyzed? Is the patient already on CRRT and the bath needs to be changed? The authors did a great job with the algorithm which we all should have a copy of on our phones. More to come as time permits. For now, there are two great free articles on hyperkalemia listed below.

Citations for great resources on Hyperkalemia

Dépret F, Peacock WF, Liu KD, Rafique Z, Rossignol P, Legrand M. Management of hyperkalemia in the acutely ill patient. Ann Intensive Care. 2019 Feb 28;9(1):32. doi: 10.1186/s13613-019-0509-8. PMID: 30820692; PMCID: PMC6395464.
Link to Abstract

Rafique Z, Peacock F, Armstead T, Bischof JJ, Hudson J, Weir MR, Neuenschwander J. Hyperkalemia management in the emergency department: An expert panel consensus. J Am Coll Emerg Physicians Open. 2021 Oct 1;2(5):e12572. doi: 10.1002/emp2.12572. PMID: 34632453; PMCID: PMC8485984.
Link to Article

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