Hyperkalemia made simple: Stabilize → Shift → Remove. . 📈 ECG changes by potassium level 🔹 K⁺ 5.5–6.5 mmol/L (Early) • Tall, tented (peaked) T waves • Narrow base, symmetric • Best seen in precordial leads 🔹 K⁺ 6.5–7.5 mmol/L (Progressive) • Flattened or absent P waves • PR prolongation • ST depression (sometimes) 🔹 K⁺ 7.5–8.5 mmol/L (Severe) • Widened QRS • Intraventricular conduction delay • Bundle branch–like patterns 🔹 K⁺ >8.5 mmol/L (Life-threatening) • Sine-wave pattern • Ventricular
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HYPERKALEMIA (>6.5) When potassium goes above 6.5 mEq/L, this becomes an emergency. At that level, the heart is the priority - tall peaked T waves, widened QRS, arrhythmias. NCLEX wants you to know the order of what we do. 1. Stabilize the Heart - Calcium Gluconate This doesn’t lower potassium. It protects the myocardium from going into fatal arrhythmias. 2.⁠ ⁠Shift Potassium Into the Cells - temporary fix •⁠ ⁠Insulin Dextrose (drives K⁺ intracellularly) •⁠ ⁠Albuterol nebulizer (beta-agonist eff
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