Risk Management Pitfalls For Potassium Emergencies In The Emergency Department
“Sure, the patient had hypokalemia, and I was treating it with intravenous potassium, but I didn’t think she needed a monitor.”
All patients receiving potassium via the intravenous route should be on a cardiac monitor both during and after infusion to assess for dysrhythmias.
“That end-stage renal disease patient is always here with moderate hyperkalemia. I gave him a dose of sodium polystyrene sulfate and sent him to dialysis.”
Emergent dialysis is the treatment of choice for patients who are dialysis-dependent with hyperkalemia. The binding resins have not been proven to rapidly lower potassium levels in the acute setting.
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