12/29/2023 0 Comments Hyperkalemia ecg changes![]() Her lower extremities are cool, dry, and shiny, with 1+ pitting pretibial edema bilaterally.īy department protocol, in light of the patient’s initial vital signs and lethargy, weakness, and ill appearance, she was placed on a cardiac monitor and an ECG was performed immediately. She has a weak radial pulse in the right arm there is an AV fistula with a palpable thrill medial to the left biceps. Her abdomen is soft but diffusely tender. Her chest examination reveals mild bibasilar crackles and normal heart sounds with a grade II/VI systolic murmur. She has a patent airway and an unremarkable HEENT examination. Her initial vital signs are supine blood pressure 98/66, pulse rate 98, respiratory rate 26, oral temperature 36.7☌ (98☏), and oxygen saturation 96% on room air. On physical examination, the patient appears lethargic and very ill. She did not feel well enough to go to her dialysis appointment yesterday and has not been able to afford any of her medications this week. Her symptoms began three days ago and have been worsening. Discuss the ECG changes that are characteristic of hyperkalemia.Ī 51-year-old woman with a history of diabetes mellitus, hypertension, peripheral vascular disease, and hemodialysis-dependent end-stage renal disease presents by ambulance because of dizziness, weakness, abdominal pain, vomiting, and diarrhea.Describe the emergency treatments for hyperkalemia.Describe the classic signs and symptoms of hyperkalemia.List common disease states that place patients at risk for hyperkalemia.On completion of this lesson, you should be able to:
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