131 Hyperkalaemia in Pre Eclampsia a discussion with Natalie Smith

As the DA you are paged to come to PACU to review a patient with pre-eclampsia who has just had a PPH and a repair of a perineal tear after delivering in labour ward. The O&G team ordered a VBG because she was febrile and they want to assess her lactate and start her on some antibiotics. The O&G registrar is concerned however because her potassium / K has come back as 7.8 mmol/L…. Join Natalie and I as we discuss the issue of hyperkalaemia specifically in the context of women suffering from pre-eclampsia. Why are they at risk of this important electrolyte abnormality and what are the principles of management? We also review a recent paper addressing some of the myths surrounding the treatment of acute hyperkalaemia (thanks to Casey at Broomedocs.com for bringing this paper to our attention). Useful References Gupta AA, Self M, Mueller M, Wardi G, Tainter C.  Dispelling myths and misconceptions about the treatment of acute hyperkalemia.  Am J Emerg Med. 2022 Feb;52:85-91. doi: 10.1016/j.ajem.2021.11.030. PMID:  34890894 LITFL, ECG library, Hyperkalaemia A case of probable labetalol induced hyperkalaemia in pre-eclampsia. Hypocalcaemia and hyperkalaemia during magnesium infusion therapy in a pre-eclamptic patient Oh’s Intensive Care Manual. 7 th Edition. Chapter 93 – Fluid and Electrolyte Therapy. Bersten A, Soni N et al. 2014.

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131 Hyperkalaemia in Pre Eclampsia a discussion with Natalie Smith is an episode from Obsgynaecritcare by Roger Browning - Anaesthetist.

This episode is 32:26 long.

This episode was published on Jun 18, 2024.

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