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re: Question for Dr's of the OT update in OP

Posted on 7/3/15 at 12:25 am to
Posted by Ric Flair
Charlotte
Member since Oct 2005
13683 posts
Posted on 7/3/15 at 12:25 am to
In an otherwise healthy guy, I would get an EKG before starting any treatment, because I would assume a lab error. Assuming its a healthy guy who is making urine and not dehydrated. If I think it is real, I'd probably start a iv fluids and glucose/insulin to force the k intracellularly initially, then get him to dialysis.
Posted by TMDawg
Member since Nov 2012
5374 posts
Posted on 7/3/15 at 12:53 am to
You're definitely right about getting an EKG but my point was that if the EKG was normal, that basically doesn't tell you anything regarding the K so it's not like the absence of peaked Ts (or any of the other things you can get with hyperkalemia) would've changed it. Just saying that people get burned by that sometimes by assuming the EKG is sensitive when it isn't.
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