#137 Hypokalemia & Potassium Repletion: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 18 October 2023

⏱️ 34 minutes

🔗️ Recording | iTunes | RSS

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Summary

See some of the original interviews on Youtube!

What is the evidence behind K+ repletion? What is a framework to think through for hypokalemia? What are the different repletion formulations and what else can you do to mitigate hypokalemia? Stepping back, do we really need to get labs every single day?!

CME : http://bit.ly/CIMCME || Show Notes & Transcript

Timestamp

01:45 Pearl 1: Evidence for potassium repletion
09:10 Pearl 2: Framework for hypokalemia
17:09 Pearl 3: Repletion goals
23:00 Pearl 4: Options for hypokalemia treatment
29:13 Pearl 5: Frequency of lab checks and repletion

Tags: IMCore, CoreIM, nephrology, hospital medicine, potassium diet, interprofessional education

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Transcript

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0:00.0	Welcome to the Core I am Thy Pills Podcast bringing you high-yield evidence-based
0:04.8	purls. I'm Dr. Schreia Jervetti and I'm Dr. Ben O'Shur an internal
0:08.1	medicine resident at Beth Israel Deaconess Medical Center. On today's Five Pearls
0:11.7	episode we'll be talking about
0:12.8	all practices around repletion. Today we'll be covering potassium and next
0:17.0	episode will be mag, fauc, and the bigger picture on electrolytes.
0:20.0	Yep, so let's get started with the purls we'll be covering today.
0:22.8	Test yourself by pausing after each of the five questions.
0:26.0	Remember, the more you test yourself, the deeper your learning gains.
0:29.6	Pearl 1. Evidence for potassium repletion.
0:34.4	Where does the data come from to replete?
0:36.6	Pearl 2. Pearl II framework for hypocholemia.
0:46.0	What are the four big buckets that cause hypokalemia? Pearl 3. Repletion Goals.
0:59.0	What is your threshold for potassium repletion?
1:01.9	In whom and how fast?
1:04.0	Pearl 4.
1:11.0	Pro4, options for hypocholemia treatment.
1:14.6	What are the different repletion.
1:31.2	Stepping back, do we really need to send labs every single day? When I started Residency residency I remember feeling like it was the super important part of my job to make
1:47.4	sure that all of my patients had their electrolytes were pleaded every day and I would
1:51.2	beat myself up if I forgot it or if I caught it too late in the
1:53.8	day to actually replete. And it got me thinking about why we're so aggressive about
	...

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