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Hyperkalemia
Patient (condition)
 
Aliases:
Hyperkalaemia
Hyperpotassium
Hyperkalemic
Hyperkalaemic

Topic aliases are alternate phrasings for a particular topic.


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Blood taken from a broviac?

The potassium may be falsely elevated if blood was withdrawn from a lumen of a double lumen broviac line in which TPN (containing potassium) is running through the other line.

Ensure the other lumen is clamped before withdrawing the sample.

A clue will be a remarkably elevated blood sugar level on the same sample.

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Feb 23, 2013
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Confirm the result with a repeat sample, preferably from another site, before commencing therapy that may reduce serum potassium.

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Bicarbonate may be used to transiently reduce serum potassium in a hyperkalemic emergency. #ref #PR

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Sep 05, 2012
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For immediate management of severe hyperkalaemia administer 0.1u/kg insulin IV and 2ml/kg 50% dextrose IV.

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If SEVERE HYPERKALAEMIA:

Dextrose 10% :  5ml/kg IV bolus (if no hyponatremia)
Insulin short action: 0.1 U/kg IV bolus  (Max 10 units)
Then followed by infusion insulin/glucose (see below)
 
If MODERATE HYPERKALAEMIA:

Dextrose 10% IV at maintenance (with Normal Saline or half normal saline)
Insulin short action infusion : 0.1 U/kg/h IV

From www.rch.org.au/clinicalgu...

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