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Medicine

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Kidney

Question
14 out of 15
 

Fastest treatment of hyperkalemia is?(AIIMS May 2011)



A Chelating resin
B Na HCO3

C Dextrose insulin drip
D Dialysis

Ans. C Dextrose insulin drip

A. Oliguria Phase

Clinical feature Treatment

1. Intravascular volume overload : A. Salt and water restriction b. Diuretics c. Dialysis

2. Hyponatremia Restriction of free water intake

3. Hyperkalemia

A. Restriction of dietary K intake

B. Eliminate K supplements and K – sparing diuretics

C. Potassium – binding ion – exchange resins

D. Glucose (50 mL of 50% dextrose) and insulin (10 units regular)

E. Calcium gluconate (10mL of 10% solution over 5min)

F. Dialysis

4. Metabolic acidosis A. Sodium bicarbonate B. Dialysis

5. Hyperphosphatemia A. Restriction of dietary phosphate intake

B. Phosphate binding agents (calcium carbonate, aluminum hydroxide)

6. Hypocalcemia Calcium carbonate

7. Hypermagnesemia Discontinue Mg – containing antacids

8. Hyperuricemia Allopurinol

9. Nutrition A. Restriction of dietary protein ~0.6 g/kg per day)

B. Carbohydrate (~ 100g/d)

B. Polyuria phase

i. During the recovery phase of ARF, polyuria occurs and there is loss of all electrolytes.

Kidney Flashcard List

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