![]() ![]() Discuss the ECG changes that are characteristic of hyperkalemia.Ī 51-year-old woman with a history of diabetes mellitus, hypertension, peripheral vascular disease, and hemodialysis-dependent end-stage renal disease presents by ambulance because of dizziness, weakness, abdominal pain, vomiting, and diarrhea.Describe the emergency treatments for hyperkalemia.Describe the classic signs and symptoms of hyperkalemia.List common disease states that place patients at risk for hyperkalemia.On completion of this lesson, you should be able to: Hyperkalemia can be rapidly progressive, and lifesaving interventions must be instituted at the earliest suspicion of toxicity. The correct and early diagnosis of hyperkalemia requires attention to risk factors, especially a history of renal failure and medication that can cause potassium retention, as well as a search for ECG changes consistent with elevated potassium. 1 Hyperkalemia has vague and varied symptoms in fact, it can be totally asymptomatic, or the initial presentation may be sudden death. Hyperkalemia, defined as a serum potassium level of more than 5 mEq/L, is the most common electrolyte abnormality leading to life-threatening arrhythmias and cardiac arrest. Critical Decisions in Emergency Medicine BotulismĮxplore This Issue ACEP News: Vol 32 – No 09 – September 2013ĥ.0 Endocrine, Metabolic, and Nutritional Disorders.Critical Decisions: Acetaminophen Toxicity. ![]() Critical Decisions: Therapeutic Hypothermia After Cardiac Arrest. ![]()
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