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Hypo/Hyperkalermia - Coggle Diagram
Hypo/Hyperkalermia
Notes
Calcium gluconate may be repeated after 5mins if ECG changes persist
Check plasma K+ and glucose 1hour after glucose/ insulin
Glucose/ insulin infusions should be repeated until plasma K+ < 6.5 mmol/L
Hyperosmolar glucose infusions should not be used in diabetic ketoacidosis
Plasma K+ < 2.5 mmon/L or cardiac arrhythmia
Intravenous supplementation is usually required
Aprox > 400 mmon/L depleat
20mmol KCL in 50ml sodium chloride 0.9% or 5% glucose
40mmol KCL in 50ml sodium chloride 0.9% or 5% glucose
Confirmed plasma K+ >6.5/ or ECG changes
10mls calcium gluconate 10%-slow IV injection over 5-10mins
8 units soluble insulin (Actrapid) in 100ml IV glucose 20% vial over 30 minutes
5-10mg nebulised salbutamol
Plasma K+ 3-3.5 mmon/L
Sando-K 2 tabs TDS
Monitor K+ twice weekly
Plasma K+ 2.5-2.9 mmon/L
Sando K 3 tabs TDS
monitor the K+ daily until > 2.9 mmon/L
Confirmed plasma K+ 5.5-6.5 mmol/L
Calcium Resonium 15g TDS