KDIGO Treatment algorithm for management of acute hyperkalemia in the emergency department

 • Place on cardiac monitor 12-lead ECG

 • IV calcium

 • IV insulin and glucose and/or salbutamol

 • Consider bicarbonate if acidosis without volume overload

 • Consider IV furosemide unless anuric ESKD or severe volume depletion

 • Consider K+ binder**

 • Consider dialysis



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