Hyperkalemia

Definition: >5.5mmol/L

Symptomatic/ECG changes

hyperkalemia emergency- treat urgently-Ca Gluconate, Dextrose, Insulin (cocktail)

Asymptomatic/no ECG changes.

categorize, Is it?

-Mild, Moderate or Severe >7 (Shirley Ooi, Medscape) >6.5 (Up To Date) Tintinnali (NA), Tan Guo Jeng (6, tapi tak dapat cari source)

If Mild to moderate – treat with potassium binder(Kalimate or resonium), remove the cause.

If Severe- treat urgently with CaGlu, Dextrose, Insulin.

So basically, treat urgently with CaGlu, Dextrose, Insulin, a.k.a Cocktail if severe(choose your level), symptomatic or ECG changes.

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