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<< Evidence-Based Management of Potassium Disorders in the Emergency Department (Pharmacology CME)

Risk Management Pitfalls For Potassium Emergencies In The Emergency Department

  1. “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.
     
  2. “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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