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HYPERKALEMIA UNLOCKED.

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DEFINITION

Serum pottasium e!e " #.# mmo$L

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Se!erit% O& H%per'aemia

MILD MODERAT

ESEVERE

K e!e ( ) ) * + " +

EC,-a/0es

Norma orPea'e1 T

2a!es

Pea'e1 T2a!es

Fatte/i/0o& P 2a!es

3 4RS2i1e/i/0

I/ter!e/tio/

5$* 5 5

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EFFECT OF POTASSIUM

Rea6atio/ o& e6-ita7e tissues..

S%mptoms

I/testi/a -oi- Diaarea

Mus-e 2ea'/ess

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Treatme/t

8. Pre!e/t te a1!erse e9e-ts o&Potassium

:. Se/1 potassium i/to te -es

;. Se/1 potassium out o& te 7o1%trou0 ,I a/1 KIDNEY

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Pre!e/ti/0 te a1!ersee9e-ts

Utimate% its our o2/CALCIUM

DOES NOT -a/0e te potassiume!es.

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Dose

Ca-ium 0u-o/ate * 8

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Dri!i/0 Potassium i/to te-es

INSULIN +/-GLUCOSE

BETA- 2 ADRENERGIC

AGONIST

SODIUMBICARBONATE

Activates Na-kp!p

Activates Na-kp!p a"# Na-

k-2c$ p!p

E%c&a"'e (it&)+ i*"s

, "its * .Ii" ,,!$ *

,0 #e%t1*se*ve1 , !i"

3 ti!es t&e#*se se# *1

"e4$isati*"

, !e5 i" L* 0

#e%t1*se

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Dri!i/0 potassium out o&-es

Cati*" e%c&a"'eResi"s

Dia$6sis

So1ium po%st%re/e

su&o/ate

emo1ia%sis

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No2 to >/1 te -ause o&H%per'aemia

Me1i-i/e C6

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Ti te/ 2e -a/ ti/'

E7ECESSIVEINTA8E

DECREASEDE7CRETION

S)I9T TOE7TRACELLULARS.ACE

HI,H K AND LO?NA DIETS* s2eetpotato@ tomatosau-e@ -arrot@ >s

RENAL FAILURE HYPEROSMOLALITY

PENICILLIN ,THERAPY

DRU,S = ACEI@NSAIDS@POTASSIUMSPARIN,DIURETICS@HEPARIN

TISSUE REAKDO?N

PRCTRANSFUSION

PRIMARY ADRENALDISEASE *T

PROPOFOL

SUCCINYLCHOLINE

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THANK YOU