What would be your first step in managing a patient with severe hyperkalemia? Share your thoughts and let's discuss! 👩⚕👨⚕ #MedStudentCommunity #LecturioLearning
I would first classify it: Secondary or Primary Hyperkalemia by: 1. Taking targeted history, 2. Doing basic Lab work up including : Blood sugar level, renal function test ( BUN and Creatinine), extended serum electrolytes THEN immediately initiate Insulin therapy, and do further management.
Basing on this Lecture, I would: 1. Do Bed Side ECG 2. Give Calcium Glucomate IV to protect the heart 3. Start Insulin therapy ( taking precautions against hypoglycemia) 4. Give Sodium bicarbonate, in case of severe Metabolic acidosis 5. Arrange for Haemodialysis. How many marks do I get?😢😢?
I'll be doing this channel a de-service if I don't appreciate the work you do...I just cleared the February 2024 medical licensure exams (LEX) in Zambia 🇿🇲. Thank you Lecturio🙌
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