Hyperkalemia and Albuterol

austinmedic2004

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We are only treating the hyperkalemia if it is the suspected cause of cardiac arrest, ie the arrested renal dialysis patient. Our first line is Calcium gluconate 1-2 Gms IV/IO (membrane stabilization), 1 mEq/kg NaHCO3 IV/IO and 10 mg Albuterol via inline neb or 10 mg Albuterol direct ET instillation after intubation (extracellular to intracellular K+ shift).
 
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