REBOOT #137 Hyperkalemia Master Class with Joel Topf MD

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 13 January 2020

⏱️ 77 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

A Curbsiders classic with a fresh intro by Hannah Abrams @hannahRabrams (soon to be MD)! Master the management of hyperkalemia with tools, tips and tactics from @kidney_boy, Joel Topf MD, Chief of Nephrology @KashlakHospital. We cover: common causes of hyperkalemia; the U-shaped curve of potassium levels and mortality; albuterol nebs; how to safely use insulin; potassium binding resins and colonic necrosis; Does it make sense to give loop diuretics and fluids?; Should we be using fludrocortisone?; Plus, answers to all your questions about a high potassium diet and oral potassium supplements! Join us for Dr Topf’s masterful insights on hyperkalemia and potassium homeostasis. Get deeper into potassium physiology with a FREE pdf copy of Joel’s book The Fluid Electrolyte and Acid Base Companion here.

Sponsor

ACP's Internal Medicine Meeting 2020 April 23-25th in Los Angeles, CA at the LA Convention Center. Early bird rates are available through January 31, 2020. Don’t forget to use the code: IMCURB20

Credits

Written, edited and produced by: Matthew Watto MD, FACP
Intro: Hannah R Abrams
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP; Stuart Brigham MD
Infographic and Cover Art: Matthew Watto MD, FACP
Guest: Joel Topf MD

Time Stamps

00:00 Sponsor -ACP’s IM Meeting 2020 in LA
00:28 Disclaimer, intro and guest bio
03:00 Guest one-liner
Picks of the week* —Peloton indoor bike;

Transcript

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0:00.0	The first signers podcast is for entertainment education and information process.
0:09.2	Only the path of success should not be used only by industry, your orbit and industry
0:11.6	is more in this organization.
0:12.6	For the more that you've been using the same express on the podcast for solo those,
0:13.6	should not be interpreted perfectly for official policy or position of any entity
0:15.6	of the cyber-phosphate, cash-like morons and affiliate outreach programs.
0:17.6	If indeed there are any, in fact, there are none.
0:19.1	Pretty much we are responsible for this throughout which we do our homework and let's know
0:21.1	when we're done.
0:30.1	Welcome back to another episode of The Curbsiders, the internal medicine podcast where we bring
0:39.5	you clinical pearls and practice changing knowledge.
0:42.1	I'm Hannah Abrams and today we are rebooting one of my favorite episodes from 2019 hyper-calemia
0:47.9	masterclass with Dr. Joltop.
0:49.9	I really wanted to reboot this episode because Dr. Tophuxus threw so many helpful pearls
0:54.5	for management of hypercalemia, things like how to decide between calcium, gluconate and
0:59.9	calcium chloride, when to actually get a follow-up EKG or serum glucose, and he walks us through
1:05.9	some of the newer treatments that I hadn't heard about before, like loop diuretics and saline,
1:10.4	flujer cortisone, pateromer, and of course you could forget sodiums or conium cycles
1:15.3	to locate.
1:17.3	Probably my favorite takeaway from the episode is that ever since I heard it, I always
1:20.8	try and do a mental check.
1:22.1	Could this hypercalemia be urinary obstruction?
	...

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