Hyperkalemia — priorities
Above 6.0 mmol/L, the danger is cardiac, not the number itself. ECG and continuous cardiac monitoring: peaked T waves, then a widened QRS, then arrhythmia. Notify immediately. Stabilize the myocardium: calcium gluconate. Shift potassium into the cell: insulin with dextrose, salbutamol. Remove potassium: diuretic, binding resin, dialysis. Stop every source: potassium in the IV, potassium-sparing diuretics, ACE inhibitors Use this sheet in spaced repetition, pair it with a matching clinical scenario on NursEduc, and always compare values to the person's baseline before drawing conclusions. essential emergency care landmarks a nurse or licensed practical nurse in Quebec should keep in mind for clinical practice and for succeeding on the OIIQ or OIIAQ entry exam. In emergency situations, the OIIQ verifies the ability to recognize clinical deterioration and act using the ABCDE approach.