Hyperkalemia can be classified as mild, moderate and severe as well as acute and chronic. Severe hyperkalemia will be acute as it will require immediate treatment. This article will address treatment strategies based on the severity of hyperkalemia. Treatment of Hyperkalemia Treatment Options Stabilization of cardiac cell membrane Redistribution from extracellular to intracellular
Hypercalcemia is of interest to both nephrologists and endocrinologists. Why nephrology? Hypercalcemia may cause acute kidney injury (AKI) Hypercalcemia, in specific primary hyperparathyroidism, is associated with nephrolithiasis (kidney stones). Secondary and Tertiary hyperparathyroidism is a complication of chronic kidney disease (CKD) and end stage renal disease (ESRD) primarily managed by nephrologists. Bottom line:
Just like in hyperkalemia A useful framework for evaluating nephrology electrolyte issues like hypokalemia is: Too little in Cellular shifts Too much out Before we get to that there also can be artifactual hypokalemia. This happens when the potassium in the body is normal, but enters the cells ex vivo, in the collection
A fundamental principle of nephrology is this: What comes in has to go out. If more comes in than goes out or more goes out than comes in sooner or later you're going to be in trouble. This is how I think out too much potassium in the blood - also known as
