Hyperkalemia Treatment - Insulin/Dextrose

In this episode we briefly review hyperkalemia and the principles of emergent treatment. Then we explore, in-depth, the role of insulin and dextrose including the incidence of hypoglycemia and pearls to reduce this side effect. Pearls: 10-20% of patients treated with insulin/dextrose for hyperkalemia get hypoglycemic Consider giving 5 units insulin instead of 10 units Check the glucose for hours (dextrose lasts Beware of insulin in patients with renal insufficiency or with near normal starting glucose. Thanks for listening! Lauren

Om Podcasten

We believe in the educational merits of Free Open Access Medical education (FOAM), which includes podcasts, blogs, articles on PubMed Central, conferences streamed for free and more. As a result, we would like to encourage others to move beyond quoting podcasts and into the realm of tying “cutting edge” FOAM to the core content. We’ll provide some review and references for listeners to go read. Why, indeed, should we FOAM it alone when FOAM can inspire us to go, read, think, and be excellent?