Causes

MedicationsACEis ARBs Potassium sparing diuretics Trimethoprim Beta blockers Suxamethonium
Acute ConditionsAKI Metabolic acidosis Rhabdomyolysis Tumour lysis syndrome Burns Hypoaldosteronism Type IV renal tubular acidosis
Pseudo-hyperkalaemiaTest tube haemolyiss Prolonged tourniquet time Marked leucocytosis haemolysis Drip arm sample
  • Treat if 6.5 mmol/L or if any ECG changes

  • Widening QRS, tall tented T waves, prolonged PR, flattened P waves

  • Insulin - drives potassium from extracellular space in

  • Dextrose to prevent Hypoglycaemia when Insulin is given

  • Calcium gluconate - stabilised the cardiac membrane