Hyperkalemia

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5 • 795 Ratings

🗓️ 1 January 2017

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

Hyperkalemia = EKG… EKG changes = Calcium… Step 1: Recheck the Potassium Most common cause of hyperkalemia is PSEUDOhyperkalemia Caused by too aggressive/fast of a blood draw Causes RBCs to break open and falsely increase serum potassium Step 2: Get an EKG Earliest EKG change Peaked T waves Late EKG changes Flattened P wave Prolonged […]

Transcript

Click on a timestamp to play from that location

0:00.0	Hello, med students.
0:02.3	My name is Zach Olson, and thank you for downloading this episode of the EM Clerkship
0:08.2	Podcast.
0:09.9	We have a huge case today.
0:14.0	This is big.
0:14.9	This is a really important topic.
0:17.4	Let's get started.
0:20.2	Okay. Let's get started.
0:29.4	Okay, everybody got a 26-year-old females and marathon runner coming from the race today.
0:36.8	Arrived at the medical tent, complaining of chest pain, chest palpitations, and tingling in fingers, both hands.
0:41.4	Has a history of diabetes, does have a pump. BP of 160 over 90 pulse of 110 respirations of 20 glucose was at 80 EKG was showing peak T waves and arrhythmia and the med tent had a nice sat on scene and showing in potassium of 6.5
0:51.0	we have two 18 gauge IV locks in the right and left AC. Icebacks under both arms
0:55.6	and the groin. The temp was 102 and a half as of five minutes ago.
1:09.0	Hyper Kaleemia.
1:13.5	I know electrolytes are boring.
1:17.4	Electrolites are like my least favorite topic probably in all of medicine,
1:21.4	but you at least need to know about hypercalemia.
1:24.4	Hypercalemia is one of our critical diagnoses.
1:31.1	And the one thing that I want you to remember today is hypercalemia equals EKG. And EKG abnormalities equals calcium. If you only remember one thing today, that's what it is.
1:41.3	Hypercalemia equals EKG and EKG abnormalities equals calcium. That will save a life.
1:50.0	You need to know that. Now before we get started with our whole approach, what causes hyper
1:55.6	calemia? We know it's deadly. It's really, really deadly, actually. But why do people get hypercalemia?
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Zack Olson, MD and Michael Estephan, MD, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Zack Olson, MD and Michael Estephan, MD and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.