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I think sometimes when we get overwhelmed, or stuck in a clinical situation that's complex, sometimes we have to go back to basics. ⁠ ⁠ Remember the H's and T's we went over last week? Those are a good place to start. ⁠ ⁠ Hypo/Hyperkalemia is one of those H's. ⁠ ⁠ So what's the treatment? C BIG K DROP⁠ ⁠ 👉Calcium gluconate or calcium chloride (stabilizes cardiac membrane)⁠ ⁠ 👉Bicarbonate (shifts potassium intracellularly)⁠ ⁠ 👉Insulin with glucose (shifts potassium intracellularly)⁠ ⁠ 👉Glucose (given along with insulin to prevent hypoglycemia)⁠ ⁠ 👉Kayexalate (sodium polystyrene sulfonate) (promotes potassium elimination)⁠ ⁠ 👉Diuretics (such as furosemide) (promotes potassium elimination)⁠ ⁠ 👉Resins (such as sodium polystyrene sulfonate) (promotes potassium elimination)⁠ ⁠ 👉Oxygen (supportive measure)⁠ ⁠ 👉Potassium restriction (avoidance of high potassium foods and medications)⁠ ⁠ Save this post for later!⁠ ⁠ ⁠ ⁠ ⁠ #icunurse #icu #icunurselife #nursesofig #diversitycrna #anesthe...
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