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Hyperkalemia (Inpatient)
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps:
00:00:07 - Background and Epidemiology
00:00:42 - Pathophysiology
00:02:29 - Admission Checklist
00:04:29 - HPI Intake
00:05:15 - To Note on Exam
00:05:25 - Etiology and Differential
00:06:10 - Plan - Treatment
00:07:56 - If You Remember Nothing Else
00:08:40 - Pearls - Etiology
00:09:44 - Pearls - Presentation and Diagnosis
00:12:03 - Pearls - Treatment
Trials and Literature
Clinical Management of Hyperkalemia (Mayo Clin Proc, 2021)
An Integrated View of Potassium Homeostasis (NEJM, 2015)
Risk of Hospitalization for Serious Adverse Gastrointestinal Events Associated With Sodium Polystyrene Sulfonate Use in Patients of Advanced Age (JAMA, 2019) - Kayexalate is associated with serious GI adverse events over 30 days (0.2% of people who take vs. 0.1% who don’t) - NNH is 1000; intestinal ischemia is the most common
Sodium zirconium cyclosilicate in hyperkalemia
(NEJM 2015) - reduces K over placebo
Other Resources:
Clinical Problem Solvers - Hyperkalemia Schema
Core EM - Hyperkalemia (good EKG change images)
Life in the Fastlane - EKG Features of Hyperkalemia
View all episodes
By RMO Medical Education
4.8
66 ratings
Visit pointofcaremedicine.com to see the templates, pearls, literature, and other resources discussed in this episode.
Our mission is to create accessible and easy-to-use digital resources that help healthcare professionals tackle common clinical presentations at the point of care, without getting bogged down by unnecessary details or trivia.
Timestamps:
00:00:07 - Background and Epidemiology
00:00:42 - Pathophysiology
00:02:29 - Admission Checklist
00:04:29 - HPI Intake
00:05:15 - To Note on Exam
00:05:25 - Etiology and Differential
00:06:10 - Plan - Treatment
00:07:56 - If You Remember Nothing Else
00:08:40 - Pearls - Etiology
00:09:44 - Pearls - Presentation and Diagnosis
00:12:03 - Pearls - Treatment
Trials and Literature
Clinical Management of Hyperkalemia (Mayo Clin Proc, 2021)
An Integrated View of Potassium Homeostasis (NEJM, 2015)
Risk of Hospitalization for Serious Adverse Gastrointestinal Events Associated With Sodium Polystyrene Sulfonate Use in Patients of Advanced Age (JAMA, 2019) - Kayexalate is associated with serious GI adverse events over 30 days (0.2% of people who take vs. 0.1% who don’t) - NNH is 1000; intestinal ischemia is the most common
Sodium zirconium cyclosilicate in hyperkalemia
(NEJM 2015) - reduces K over placebo
Other Resources:
Clinical Problem Solvers - Hyperkalemia Schema
Core EM - Hyperkalemia (good EKG change images)
Life in the Fastlane - EKG Features of Hyperkalemia
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