Peaked t waves potassium1/12/2024 The next group of agents used in hyperkalemia shift potassium into the cells. Typically calcium gluconate is given over calcium chloride as the latter is often relegated to code situations due to increased risk of burning/irritation on administration and is preferred to give via central line. Our patient has peaked T waves so calcium should be administered making answer choice B is correct. This stabilizes the cardiac membrane and gives the other agents time to work. The first agent that should be used is calcium if there are EKG changes. There are many agents used in the treatment of hyperkalemia. While concentrations just above the normal limit (around 5 meq/L) can be managed conservatively, those above 5.5 meq/L with acute renal dysfunction, above 6.5 meq/L, or with EKG changes should be managed emergently. Hyperkalemia (elevated potassium concentrations in the blood) is sometimes an emergency that requires prompt treatment due to the risk of developing arrhythmias or sudden cardiac death. Insulin Regular 10 units SQ plus 50mL D50W IV Which of the following agents could potentially be used in the management of AD's hyperkalemia? Select all that apply.ĭ. The medical resident wants to know what agents they should use to treat AD's hyperkalemia. ![]() ![]() The patient's baseline SCr is 1.2 meq/L and currently is 3.0 meq/L. Initial labs show a potassium conentration of 7.1 mEq/L. AD is a 73-year-old female who comes into the emergency room overnight complaining of muscle weakness, nausea, vomiting, and shortness of breath.
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