Dr Haisook’s Medicopedia

Tips on Electrolyte Imbalances like Hypokalemia and Hyperkalemia

Posted by: drhaisook on: January 9, 2009

General rules:
• Hydrogen ion concentration (H) is directly proportional with potassium ion concentration (K)
• Sodium ion concentration (Na) is inversely proportional with potassium ion concentration (K) and hydrogen ions (H)

Hypokalemia is due to:
• alkalosis (decreased H leads to decreased K)
• diuretics (all exc. K-sparing ones)
• diarrhea
• corticosteroids (they increase Na, thus K is decreased)

Hyperkalemia (ttt)
• Insulin + glucose: to shift K into the cells
• NaHCO3: to reverse the accompanying acidosis
• IV Ca gluconate: to protect the heart from asystole
• furosemide: to get rid of K

Aldosterone-related
• Aldosterone excess » Na retention, K loss
• Aldosterone deficiency » Na loss, K retention (a cause of hyperkalemia)

Misc.
• Thiazides are calcium sparing, so never use them in hypercalcemia
• Hypomagnesemia » hypokalemia & hypocalcemia (main clinical picture is due to these rather than hypomagnesemia)

Leave a Reply

Welcome to Dr Haisook's Medicopedia, a medical blog specialized in original medical notes and collections that are quick to read yet rich in information. Every bit of information has been checked for accuracy and validity.

Please see copyright status at the bottom of this bar.

Would you like to contribute medical notes to Medicopedia? Join us.


About
The Staff

Medicopedia's Medical Forums is temporarily down.

Pick a category

Blog Stats

  • 102,791 hits

Archives Since 2005

Copyright 2009

Dr Haisook's
Medicopedia

Creative Commons License