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Hyperkalemia Nursing Mnemonics
The hyperkalemia MACHINE
Medications – ACE Inhibitors, NSAIDS, potassium-sparing diuretics
Acidosis – Metabolic and respiratory
Cellular destruction – burns, traumatic injury, hemolysis
Hypoaldosteronism – Addison’s
Intake- excessive
Nephrons- renal failure
Excretion – Impaired
MURDER Muscle weakness
Urine- oliguria, anuria
Respiratory distress
Decreased cardiac contractility
ECG changes
Reflexes- hyperreflexia, or areflexia (flaccid)
AIRED
Administer IV Calcium – to immediately decrease cardiac toxicity
Increase excretion – via both stool (kayexlate) and urine (diuretics)
Remove sources of potassium – from all sources, including enteral, pareteral, IV, and PO
Enhance potassium uptake into cells – insulin, glucose, sodium bicarb, beta-adrenergic antagonists
Dialysis – emergent response for patients with lethal hyperkalemia
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