• Definition (as from ALS 2 Manual): >5.5 mmol/L
    • Severe hyperkalaemia: >6.5 mmol/L

Causes

  • Renal failure
  • Drugs (ACE-i, ARB, potassium sparing diuretics, NSAIDs, ß-blockers, trimethoprim)
  • Tissue breakdown (e.g. rhabdomyolysis, tumour lysis, haemolysis, burns)
  • Metabolic acidosis (e.g. renal failure, diabetic ketoacidosis)
  • Endocrine disorders (e.g Addison disease)
  • Pseudo-hyperkalaemia secondary to prolonged transit time or poor storage conditions

ECG Changes