Tune in to this podcast to listen to interviews, tutorials and discussion on all things relating to critical care, anaesthesia and pain medicine in Obstetrics and Gynaecology.
All content for Obsgynaecritcare is the property of Roger Browning - Anaesthetist and is served directly from their servers
with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Tune in to this podcast to listen to interviews, tutorials and discussion on all things relating to critical care, anaesthesia and pain medicine in Obstetrics and Gynaecology.
131 Hyperkalaemia in Pre Eclampsia a discussion with Natalie Smith
Obsgynaecritcare
32 minutes 26 seconds
1 year ago
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
https://litfl.com/hyperkalaemia-ecg-library
A case of probable labetalol induced hyperkalaemia in pre-eclampsia. https://pubmed.ncbi.nlm.nih.gov/25370900
Hypocalcaemia and hyperkalaemia during magnesium infusion therapy in a pre-eclamptic patient https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4614650
Oh’s Intensive Care Manual. 7th Edition. Chapter 93 – Fluid and Electrolyte Therapy. Bersten A, Soni N et al. 2014.
Obsgynaecritcare
Tune in to this podcast to listen to interviews, tutorials and discussion on all things relating to critical care, anaesthesia and pain medicine in Obstetrics and Gynaecology.
