@makambwabless.bsky.social
Reposted
cosign: isotonic bicarb is great for the renal failure patient with hyperkalemia & acidemia
even if the kidneys take 24-48 hrs to start working, isotonic bicarb resus can often drop the K & improve pH enough to avoid needing dialysis (buys time for renal recovery)
even if the kidneys take 24-48 hrs to start working, isotonic bicarb resus can often drop the K & improve pH enough to avoid needing dialysis (buys time for renal recovery)
Fluids in HyperK
-Restore volume, incr kidney perfusion leading to incr urine output + K elimination
-0.9% saline: pH 5.5, big Cl load. Worsen acidosis leading incr serum K
-LR superior: small amount of K in it won’t raise serum K. Won’t contribute to acidosis
youtube.com/shorts/3G4yc...
#EMIMCC
-Restore volume, incr kidney perfusion leading to incr urine output + K elimination
-0.9% saline: pH 5.5, big Cl load. Worsen acidosis leading incr serum K
-LR superior: small amount of K in it won’t raise serum K. Won’t contribute to acidosis
youtube.com/shorts/3G4yc...
#EMIMCC
Fluids in Hyperkalemia #criticalcare #emergencymedicine
YouTube video by EMSwami
youtube.com
November 21, 2025 at 7:34 PM
cosign: isotonic bicarb is great for the renal failure patient with hyperkalemia & acidemia
even if the kidneys take 24-48 hrs to start working, isotonic bicarb resus can often drop the K & improve pH enough to avoid needing dialysis (buys time for renal recovery)
even if the kidneys take 24-48 hrs to start working, isotonic bicarb resus can often drop the K & improve pH enough to avoid needing dialysis (buys time for renal recovery)