30/10/2026
A CLINICAL CASE.
6pm call from the ward:
“Hey… just letting you know the potassium is 9.0.” 🫠
Nine. Point. Zero.
For context: this is the highest real K⁺ I’ve ever seen in an alive patient.
You better believe I was sweatin’. 😅
• Stabilise the myocardium → calcium
• Shift the K⁺ intracellularly → insulin + dextrose, salbutamol
• Get rid of the K⁺ → in this case… dialysis (after some token furosemide on the way)
🏃♀️🍌