Pharmacological Management of Acute Kidney Injury
Pharmacological Management of Acute Kidney Injury
Pharmacological Management of Acute Kidney Injury
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Treatment <strong>of</strong> Hyperkalaemia<br />
? Haemolysed<br />
? Supplements<br />
? drugs<br />
Start low K +<br />
diet<br />
Hyperkalaemia<br />
[K + ] > 6.5 mmol/L<br />
±ECG changes<br />
Dialyse<br />
10% Ca gluconate 10ml IV<br />
Any other indication<br />
for dialysis?<br />
10u s.insulin in 50ml<br />
50% dextrose IV over<br />
10mins<br />
?NaHCO 3 if [HCO 3 ] < 20<br />
mmol/L 300-600 ml<br />
Persistent life-threatening<br />
[K + ]<br />
Recheck [K + ] 6 hrly<br />
[K + ] but not lifethreatening<br />
ion exchange resin +<br />
lactulose + s.insulin/dextrose