A 62-year-old on haemodialysis became unresponsive during dialysis with asystole, then ROSC after 12 minutes. K 8.1, creatinine 9.7. What is appropriate?
سؤال مجاني 4 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Insulin/glucose, calcium and bicarbonate, then assess for dialysis
✓ مطابق للمصدر
RENAL-04 Potassium Disorders [Slides].pdf · p. 4
K⁺ 8.1 that caused cardiac arrest in a dialysis patient is a hyperkalemic emergency. Give calcium to stabilize the myocardium, insulin/glucose (± bicarbonate if acidotic) to shift K⁺ into cells, then remove K⁺ by haemodialysis, which is indicated in refractory hyperkalemia or ESRD.
- Observation or an echo does nothing for the life-threatening potassium.
- المصدر
- RENAL-04 Potassium Disorders [Slides].pdf · p. 4
Hyperkalemia Davidson.pdf · p. 2 - المحاضرة
- Electrolytes (Na & K) · Nephrology · Module C
- ظهر في
- MED41 ♀ EOM C