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Mild 5-6, Moderate 6-7, Severe >7 meq/L
peaked T waves, widened QRS and QT. Torsades.
- Antiarrythmic: 5-10 ml 10% Calcium gluconate
- Shift K+ into cells with glucose
- 1 amp HCO3-, 1 amp D50 + insulin reg 5 u IV
- Eliminate K+ Kayexalate 15-50 gm &Furosemide 20 mg IV push
- U waves on EKG
- Oral KCL 20-40 meq po qd
- IV D5W ½ NS c 20 meq KCL/l
- KCL 10 meq in 100 cc NS IV over 1 hour
- in malignancy, hyperparathyroidism.
Excrete with saline diuresis with IV NS and furosemide
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- MgSO4 1 gm IV add to current bag
- MgO2 400 mg PO tid
- always need discussion.
- Hypovolemia?
- Hypervolemia? Fluid restrict.
- Profound < 120 meq/L or with symptoms
NS @ 150 cc hour
Furosemide 20 mg IV q 4 hours
Chem 6 q 4 hours
- Seizures: 3% Saline infusion
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Usually means dehydration.
Think of rhabdomyolysis in a patient who has been down.
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