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cardiologist (interventional)
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How many patients do you typically see each month?
1. In acute, life threatening #hyperkalemia with #ECG changes, what do you think is the most appropriate order of management?
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IV calcium, insulin & D50
Consult nephrology for dialysis and place temporary dialysis catheter
give IV loop diuretic
Start K+ binder
2. 65 YO patient with PMH htn, T2D, DKD with UACR 1.2g/g. Meds: lisinopril 20mg QD. Pt adheres to low K+ diet. BP 142/80. sCr 2.0. sK 5.2. On exam, there's trace LE edema. How will you manage this patient’s potassium and need for increased RAASi?
Make no changes, potassium is 5.2
Start chlorthalidone, recheck potassium, then uptitrate lisinopril
Start potassium binder
restrict K+ in diet
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