症例 challenge · Nephrology / Emergency / Internal medicine · teaching

Adult Hyperkalemia — Management Pathway · case challenge

Given a case, work through the care pathway step by step; the tool checks each choice and scores you. Decisions and basis are taken from this site's reviewed care pathways.

← View the full flowchartBased on 2023 UKKA / 2018 KDIGO

Case #1Nephrology / Emergency / Internal medicine

📋 Case data

Assess urgencyYes (ECG change / K ≥6.5 / symptomatic)

Data is taken from this pathway's reviewed node text. Work through the pathway step by step.

Step 1 / 1 · Assess urgency

Any of: ECG changes / serum K ≥6.5 mmol/L / symptomatic?

💡 First exclude pseudohyperkalemia (hemolysis, fist-clenching during draw, very high platelets/WBC). Acute hyperkalemia is more dangerous than chronic (e.g. dialysis patients). Mild 5.5–5.9, moderate 6.0–6.4, severe ≥6.5 mmol/L. ECG: peaked T waves, loss of P waves, PR prolongation, QRS widening, sine wave.

For teaching. Decisions and their basis are taken from this site's reviewed care pathways; for licensed clinicians/trainees, this does not replace clinical judgment or local protocols.