ICU SAQs · Pharmacology / electrolytes
Management of severe hyperkalaemia with ECG changes
A CICM First Part SAQ on severe hyperkalaemia - calcium to stabilise the myocardium, insulin-dextrose and salbutamol to shift potassium into cells, then removal, plus reversing the cause.
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Prompt
A patient in the ICU has a serum potassium of 7.1 mmol/L with widened QRS complexes on the ECG. Outline the immediate management.
Question
A patient in the ICU has a serum potassium of 7.1 mmol/L with widened QRS complexes on the ECG. Outline the immediate management.[1]
References3ShowHide
- [1]Kim HJ, Han SW Therapeutic approach to hyperkalemia Nephron, 2002.PMID 12401936
- [2]Allon M, Copkney C Albuterol and insulin for treatment of hyperkalemia in hemodialysis patients Kidney Int, 1990.PMID 2266671
- [3]Putcha N, Allon M Management of hyperkalemia in dialysis patients Semin Dial, 2007.PMID 17897250