If patient has renal dysfunction (renal failure or other renal disease), assume potassium level correct until proven otherwise.Level of potassium should be confirmed with a second sample.Note: Patients with moderate or severe hyperkalaemia need continuous cardiac monitoring and IV access Assess the patient's medication list - stop drugs that increase potassium or reduce its excretion.Confirm that potassium in IV fluids and oral potassium supplements are stopped.Palpitations, arrhythmia, cardiac arrest.Hyperkalaemia can be initially asymptomatic or can presents with severe symptoms/signs:. ![]()
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