Elevated Potassium
Age: years old
Gender:
HISTORY:
Presents for hyperkalemia
Lab results:
K
Na
Cl
BUN , creatinine
Albumin
Ca , Mg , Phosphate
Urinalysis
Associated symptoms: *Try using right-click for negatives*
, , , ,
, episodes , ,
, episodes ,
Contributing factors:
no history of: , , ,
no use of: , , , ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck: , , , c-spine
Heart: , ,
Lungs: , ,
Abdomen: , , , , bowel sounds , ,
Skin: on
Extremities: , , cap refill sec, pulses , ,
Neurologic: cranial nerves , strength , sensation , reflexes , cerebellar function , gait
ASSESSMENT:
DDx: acute kidney injury, chronic kidney disease, dehydration, diarrhea, excessive potassium intake, medication-induced hyperkalemia, potassium supplements, ACE inhibitors, ARBs, potassium-sparing diuretics, NSAIDs, beta-blocker use, digitalis toxicity, heparin use, pseudohyperkalemia due to hemolysis in blood sample, hemolysis, rhabdomyolysis, tumor lysis syndrome, metabolic acidosis, hyperglycemia, Addison's disease, transfusion, familial hyperkalemic periodic paralysis
PLAN:
Investigations:
- Blood work: , , , , , , , , , , ,
- Urine: ,
- ECG
Treatments:
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-
-
-
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- Stop medications: potassium supplements, potassium-sparing diuretics, ACE iѮhibitors, ARBs, beta blockers, NSAIDs
- Dietary modifications:
Further care:
- Referral to nephrologist
- Follow-up in
- Return if symptoms worsen or if new symptoms develop such as palpitations, muscle weakness, or numbness
- Referral to ER if severe palpitations, chest pain, shortness of breath, or loss of consciousness occurs
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: