Dec 10 2023 14 mins 1
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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
