Cardic Emergencies: Hyperkalemia (Renal Dialysis/Failure Or Crush Syndrome)

6 Questions | Total Attempts: 108

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Crush Quizzes & Trivia

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Questions and Answers
  • 1. 
    What are some clues that a patient may be suffering from hyperkalemia?
    • A. 

      Renal dialysis/failure with poor or non-functioning kidneys

    • B. 

      Crush syndrome

    • C. 

      Hemodynamically unstable renal dialysis patients or patients suspected of having an elevated potassium with bradycardia and wide QRS complexes.

    • D. 

      All of the above

  • 2. 
    The first ALS intervention one should take for patients suffering from hyperkalemia is initiate a IV and treat to appropriate cardiac algorithim.
    • A. 

      True

    • B. 

      False

  • 3. 
    The following treatment should be considered with medical consultation for adult hyperkalemia patients.
    • A. 

      Calcium chloride 0.5-1 grams slow IVP 0ver 3-5 minutes for a max of 1 gram or 10 mL

    • B. 

      Sodium bicarbonate 50 mEq IV over 5 minutes

    • C. 

      Dextrose 25 grams

    • D. 

      Albuterol 20 mg via nebulizer if available

    • E. 

      Aspirin 325 mg

  • 4. 
    With medical consultation, sodium bicarbonate should be given at 50 mEq slow IVP over 5 minutes for hyperkalemic pediatric patients with crush syndrome or functional kidneys.
    • A. 

      True

    • B. 

      False

  • 5. 
    The following treatment should be considered with medical consultation for pediatric hyperkalemic patients.
    • A. 

      Calcium chloride 20 mg/kg (0.2 mL/kg) slow IVP/IO max dose of 1 gram or 10 mL

    • B. 

      Oral glucose

    • C. 

      Albuterol via nebulizer 2.5 mg for 2 years and older; 1.25 for less than 2 years

    • D. 

      Diphenhydramine 50 mg

  • 6. 
    With medical consultation, sodium bicarbonate should be given at 50 mEq slow IVP over 5 minutes for adult hyperkalemic patients with crush syndrome or functional kidneys with a sodium bicarbonate drip of 100 mEq in 1000mL to run over 30-60 minutes.
    • A. 

      True

    • B. 

      False

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