>>> Update: For a new take on kayexalate, see Mak Moayedi’s Lecture
Hey folks. As I get ready for ACEP, I just wanted to get a quick podcast put up. One of the listeners requested an episode on the treatment of hyperkalemia in the ED.
There was a fantastic article published in Critical Care Medicine on the topic by a Dr. Weisberg. I go through my management and discuss some of the pearls from the article.
Additional References added Feb 2012
ECG is insensitive and non-specific for severe hyperkalemia issues; essentially is crap (Clin J Am Soc Nephrol 3: 324-330, 2008). ECG peaked T waves, that resolved after K normalized were noted in only 1 of the 14 hyperkalemic patients who went on to have arrhythmia or cardiac arrest. Only half of them had any T-wave changes.
Calcium Gluconate doesn’t require Hepatic Metabolization before it is active(2360741)
and now to the podcast…
Latest posts by Scott Weingart (see all)
- Presentation Mastery from the Teaching Course NYC 2015 - February 5, 2016
- Podcast 166 – Endocarditis with David Carr - January 25, 2016
- 2016 Essentials of Emergency Medicine Fellowship Competition - January 6, 2016