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DI lecture hyperkalemia

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alchemist04's version from 2016-10-02 06:38

Section

Question Answer
What are the causes of Hyperkalemia? (1)ACEi (all mends that ends with pril)
What are the causes of Hyperkalemia? (2)ARBs, Angiotensin receptor blockers (all Sartan drugs, Losartan/Cozaar, Valsartan Diovan)
What are the causes of Hyperkalemia? (3)Trimethoprim (Septra/Bactrim combination)
What are the causes of Hyperkalemia? (4)Triamterene
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Question Answer
What are the causes of Hyperkalemia? (5)Beta blockers or Beta antagonist
What are the causes of Hyperkalemia? (6)Digoxin and Succinylcholine
What are the causes of Hyperkalemia? (7)Hemolysis
What are the causes of Hyperkalemia? (8)Acidosis, Hyperosmolality
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Question Answer
Why is it important to consider the effect of hemolysis as per hyperkalemia?It could cause Psuedohypekalemia
When do you consider Psuedohyperkalemia in a patient?When unexpected hyperkalemia is found in asymptomatic patient with otherwise normal lab
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Question Answer
What medications can be used to treat Intracellular Shift (transcient)? (1)(2) Regular Insulin +/- dextrose
What medications can be used to treat intracellular Shift (transcient)? (2)(2) Albuterol
What medications can be used to treat Intracellular Shift (transcient)? (3)(3) Sodium bicarbonate (only to correct metabolic acidosis)
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Question Answer
What medications are used for K elimination (1)(1) Sodium polystyrene sulfonate (Kayexate)
What medications are used for K elimination (2)(2) Furosemide (not good for pt w/ renal problems
What medications are used for K elimination (3)(3) Hemodialysis (last resort, most effective therapy)
When giving SPS what should you watch out for?Bowel Movement, bc SPS is eliminated via feces.
SPS could cause diarrhea, T or F?T
SPS is more potent than Furosemide in reducing serum K, T or F?T
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Question Answer
A patient has hyperkalemia and abnormal ECG, what medication would you recommend?Calcium gluconate
What is the dose of Calcium Gluconate1 gm IV
What is the risk is involved in Cardiac Membrane stabilization?Greater risk of extravastation and tissue necrosis
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Question Answer
A patient has a line for sodium bicaerbonate and he is hyperkalemic. the nurse asked you if it is ok to give Calcium gluconate via this already existing line, What would you tell her?Do not give Na bicarbonate and Calcium gluconate on the line
A pt w/ hyperkalemia of 6.1 mEq/L was in your hospital, what would you recommend?Insulin +/- dextrose (recommemded for pt with sever hyperkalemia)
What is the dose for albuterol?10 - 20 mg Nebulization
What is the dose for regular insulin +/- dextrose 50%?10 units +/- 25 IV
Albuterol could cause......... Hence there is a need to monitor.........?Tachycardia, heart rate
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