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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

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