Management of Hyperkalaemia - Flowchart
Management of Hyperkalaemia - Flowchart Management of Hyperkalaemia Management of Hyperkalaemia
Flowchart

(1) Hyperkalaemia (Tables 86.1 and 86.2)

(1) Hyperkalaemia (Tables 86.1 and 86.2)

(1) Hyperkalaemia (Tables 86.1 and 86.2)

86.1 86.2

ECG, monitor IV access

ECG, monitor IV access

ECG, monitor IV access

End

End

End

Check electrolytes, creatinine, glucose, full blood count, ECG

Check electrolytes, creatinine, glucose, full blood count, ECG

Check electrolytes, creatinine, glucose, full blood count, ECG

Exclude pseudohyperkalaemia, Table 86.2

Exclude pseudohyperkalaemia, Table 86.2

Exclude pseudohyperkalaemia, Table 86.2

Table 86.2

Table 86.3

Table 86.3

Table 86.3

Table 86.3

Identify/treat cause (table 86.2)
Stop drugs which may be contributing
Consider calcium resonium
If renal failure, discuss renal replacement therapy with nephrologist

Identify/treat cause (table 86.2)
Stop drugs which may be contributing
Consider calcium resonium
If renal failure, discuss renal replacement therapy with nephrologist

Identify/treat cause (table 86.2)
Stop drugs which may be contributing
Consider calcium resonium
If renal failure, discuss renal replacement therapy with nephrologist

table 86.2


Review ECG (Table 86.1)


Peaked T wave?
Wide QRS?

Review ECG (Table 86.1)


Peaked T wave?
Wide QRS?

Review ECG (Table 86.1)

Table 86.1


Peaked T wave?
Wide QRS?


Peaked T wave?
Wide QRS?

Plasma potassium
>7 mmol/L or
>6 mmol/L with abnormal ECG

Plasma potassium
>7 mmol/L or
>6 mmol/L with abnormal ECG


or
Plasma potassium

Plasma potassium
5-6 mmol/L

Plasma potassium
5-6 mmol/L


Plasma potassium