Settings for hyperkalemic patients in emergency department

Background: Hyperkalemia is a common electrolyte disorder observed in the emergency department. It often associated with underlying predisposing conditions, such as moderate or severe kidney disease, heart failure, diabetes mellitus, significant tissue trauma. Additionally, medications, inhibitors of renin-angiotensin-aldosterone system, potassium-sparing diuretics, nonsteroidal anti-inflammatory drugs, succinylcholine, and digitalis, are hyperkalemia. To this end, Kidney Disease: Improving Global Outcomes (KDIGO) convened conference 2018 to identify evidence address controversies on potassium management disease. This review aimed summarize deliberations clinical guidance for evaluation acute hyperkalemia setting. The toxic effects cardiac conduction system potentially lethal. ECG mainstay managing Membrane stabilization by calcium salts potassium-shifting agents, insulin salbutamol, cornerstone However, only dialysis, potassium-binding loop diuretics remove from body. Frequent reevaluation concentrations recommended assess treatment success monitor recurrence