A 78-year-old lady was admitted to hospital for dizziness. She has diabetes mellitus and mild renal impairment (creatinine level around 200 μmol/L). There was no neurological deficit and there was no chest pain. Physical examination was unremarkable but the blood pressure was only around 90/60 mmHg. An ECG was done. What does the ECG shows ? Her blood K+ level was found to be 7.8 mmol/L. What treatment may be considered ?

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Hyperkalemia Calcium glycolate/Cl bolus Followed by Insulin glucose drip If not responding Hemodialysis

Hyperkalemia.Calcium Gluconate IV 1 amp in NS followed by Insulin Actipred in 5D.Dose as per CBG,Inj Dopamine to start.Pt must be kept in ICU.If not improved, think of haemodialysis

Low voltage ecg with hyper acute T with bradycardia with junctional rhythm Hyperkalemia Vbg Pentatherapy K bind Sos dialysis Usg and pelvis for renal status Urine routine Bsl

1. rS in lead I, aVL.... LPFB 2. HR < 40, Non visible P, QRS duration < 0.12.... JUNCTIONAL ESCAPE RHYTHM 3. Tall peaked T waves in II, V2-V6.... HYPERKALAEMIA

hyperkalemia stabilise the heart with calcium gluconate 10mg iv insulin 10u bolus followed by 25%dextrose and observe GRBS nebulisation with albutrol for every 20 mins upto 2 hrs potassium banding sachets if patient was able to take orally

ECG reveals ,tall T waves in v123 .No arrhythmia. Rate less than 45/min .12 Lead ECG not seen. Complete heart block? Blood glucose level and look for ketone in urine,treat it Iv saline and insulin .2.5 percent sod bicar infusion .

Potassium levels are life threatening. Immediate give inj calcium gluconate 10ml 10%over 10mts. Nabulization with salbutamol Glucose/insulin infusion Sodium bicarbonate K bind sachet

Junctional bradycardia Hyperkalemic -Sine wave .ca gluconate Nahco3 And sos dialysis if not reverted changes

Hyper kalamia

Hyperkalemia. Tab k bind

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