Causes
Medications | ACEis ARBs Potassium sparing diuretics Trimethoprim Beta blockers Suxamethonium |
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Acute Conditions | AKI Metabolic acidosis Rhabdomyolysis Tumour lysis syndrome Burns Hypoaldosteronism Type IV renal tubular acidosis |
Pseudo-hyperkalaemia | Test tube haemolyiss Prolonged tourniquet time Marked leucocytosis haemolysis Drip arm sample |
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Treat if 6.5 mmol/L or if any ECG changes
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Widening QRS, tall tented T waves, prolonged PR, flattened P waves
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Insulin - drives potassium from extracellular space in
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Dextrose to prevent Hypoglycaemia when Insulin is given
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Calcium gluconate - stabilised the cardiac membrane