TITRATION
TITRATION
Potassium > 5.2mmol/L
K+ 5.2-5.5
nothing
K+ 5.6-6.0
nothing
K+ > 6.0
Select degree of hyperkalemia ...
POTENTIAL ACTIONS:
-Assess dietary sources of K+
-Stop K+ supplements
-Reduce or hold aldosterone antagonists
REASSESS:
-Serum K+ and ACEI / ARB dose in 3-5days
POTENTIAL ACTIONS:
-Stop K+ supplements, aldosterone antagonists
-Hold or reduce ACEI / ARB
REASSESS:
-Serum K+ and ACEI / ARB dose in 2-3 days
REQUIRES IMMEDIATE ATTENTION
REQUIRES IMMEDIATE ATTENTION
Treat hyperkalemia
Hold ACEI/ARB and other agents that elevate K+
Repeat K+ as clinically indicated
OK