Skip to Main Content

+

  • • Elevated serum potassium

++

Epidemiology

+

  • • Severe trauma

    • Burns

    • Crush injuries

    • Renal insufficiency

    • Marked catabolism

    • Addison disease

++

Symptoms and Signs

+

  • • Nausea

    • Vomiting

    • Colicky abdominal pain

    • Diarrhea

++

Laboratory Findings

+

  • • Elevated serum potassium

    • Peaked T waves

    • Wide QRS

    • Depressed ST segment

+

  • • Addison disease

++

Rule Out

+

  • • Hemolysis

    • Leukocytosis

    • Thrombocytosis (> 1,000,000/µL

    • Abnormalities of acid-base status (acidosis)

    • Addison disease

+

  • • Serum electrolytes

    • CBC with platelets

+

  • • IV 100 mL D50 with 20 U regular insulin

    • IV NaHCO3

    • IV calcium

    • Sodium polystyrene sulfonate orally or by enema (40-80 g/d)

    • Hemodialysis

    • β-Agonists (inhaled)

++

Medications

+

  • • D50/insulin

    • Calcium

    • Sodium polystyrene sulfonate

    • NaHCO3

    • Albuterol

++

Treatment Monitoring

+

  • • Serum electrolytes

    • ECG

++

Complications

+

  • • Diastolic cardiac arrest

++

Prognosis

+

  • • Excellent

++

References

Greenberg A. Hyperkalemia: treatment options. Semin Nephrol. 1998;18:46.  [PubMed: 9459288]
Mahoney BA. et al. Emergency interventions for hyperkalaemia. Cochrane Database of Systematic Reviews. 2005, (2):CD003235.

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.

Ok

About MyAccess

If your institution subscribes to this resource, and you don't have a MyAccess profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus.

Subscription Options

AccessSurgery Full Site: One-Year Subscription

Connect to the full suite of AccessSurgery content and resources including more than 160 instructional videos, 16,000+ high-quality images, interactive board review, 20+ textbooks, and more.

$995 USD
Buy Now

Pay Per View: Timed Access to all of AccessSurgery

24 Hour Subscription $34.95

Buy Now

48 Hour Subscription $54.95

Buy Now

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.