one more hyperkalemia q

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one more hyperkalemia q

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9 Posts

som
Forum Guru

Topics: 59
Posts: 308

08/11/06 - 06:45 AM

43 yr female develops ARF following an emerg resction of leaking abd. aortic aneurysm. 3 days after surg labs are:

Na 127

K 5.9

cl 92

HCO3 15

BUN 82

Cr 6.7

pt has gained 4 kg since surg and is mildly dyspnoeic at rest. 8hrs after labs reported ECG taken shows ST changes consistent with hyperkalemia. Initial treatment of this pt wud be:

10% calcium gluconate

0.25 mg digoxin q3hrs 3 tmes

oral kaeyexalate

100 mg lidocaine

emerg hemodialysis

wyvern
Forum Guru
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Topics: 3
Posts: 132

08/11/06 - 07:13 AM

Ca gluconate

frank100
Forum Guru

Topics: 48
Posts: 586

08/11/06 - 08:23 AM

(a) 10% calcium gluconate while waiting for the hemodyalisis team.

agree with wyvern

achilles
Forum Guru
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Topics: 90
Posts: 1,225

08/11/06 - 09:08 AM

ca gluconate...protect the heart first by stabilising the membranes

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juanma0
Forum Senior

Topics: 10
Posts: 146

08/11/06 - 07:37 PM

Do they really think we´re that dumb to pick digoxin? Vote for worst distracator ever?

study_ing
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Topics: 180
Posts: 2,511

08/11/06 - 11:01 PM

anything's possible in an exam situation...stress and its evil ways sad

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guayoman
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Topics: 44
Posts: 273

08/12/06 - 06:58 PM

hehehehee agree with you study_ing Stress and it's evil ways!!!!

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HighHopes
Forum Senior

Topics: 12
Posts: 165

08/14/06 - 04:00 PM

On question, if you have an option between 1- insuline and glucose & 2- Ca , which one do you choose?

achilles
Forum Guru
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Topics: 90
Posts: 1,225

08/14/06 - 05:14 PM

still ca gluconate as the initial step...insulin and glucose is the next step.

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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "

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