Hyperkalaemia

[ Resuscitation Council UK]

= or > 5.5 mmol/L

ABCDE approach

Perform 12 Lead ECG

Mild 5.5 – 5.9 mmol/L

–       Correct cause

–       Consider calcium resonium (15g QDS PO or 30g BD PR)

Moderate 6.0 – 6.4 mmol/L or Severe >6.5 mmol/L

–       Monitor ECG in HDU

o   Peaked T-waves, absent/flattened p-waves, Broad QRS, sine waves, Bradycardia, VT

§  If any of above = Calcium Chloride (10ml 10%) or Gluconate (30ml 10%) and repeat ECG after 5 mins and consider further dose

§  If not = insulin-glucose IV infusion + Salbutamol Nebs 10-20mg

–       Consider Dialysis if K >6.5 mmol/L despite medical therapy