임상 시나리오
Hyperkalemia:
- Normal K+ range: 3.5-5.0 mEq/L
- Causes: renal failure, medications (ACE inhibitors, K-sparing diuretics), tissue breakdown
- Symptoms: muscle weakness, cardiac arrhythmias, ECG changes (peaked T waves, widened QRS)
- Treatment: calcium gluconate, insulin with glucose, beta-agonists, sodium bicarbonate
- Emergency intervention needed for K+ > 6.5 mEq/L
- ECG monitoring essential
- Dialysis may be required in severe cases
- Common medications to avoid: NSAIDs, potassium supplements
- Risk factors: diabetes, heart failure, adrenal insufficiency
- Regular monitoring of serum potassium in high-risk patients
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