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Recall hyperkalemia as the story about the hiker-banana who was an international banana smuggler. Hyperkalemia is defined by a serum potassium level greater than 5, shown by the greater than (5) hand scale. Hyperkalemia can manifest as abdominal cramps, shown as the abs-man put in clamps. Muscle weakness can also occur, the weak-drooping-muscles. Diarrhea, the toilet, and arrhythmias can occur represented by the broken arrhythmia-drum. More specifically, tall, peaked T waves can be seen on EKG, the Tall-Mr. T peaked-wave. Management of hyperkalemic emergencies require a multipronged approach. First, IV Calcium, the IV Calcium-cow, should be administered in order to stabilize cardiac membranes. We must then focus on removing excess K from the blood. In the short term, we can force potassium into cells by administering glucose and insulin, shown by the infusing glue-bottle with an insect-syringe. The added glucose in this formulation prevents hypoglycemia. In patients with intact renal function, Loop or Thiazide diuretics can be used to reduce potassium, the Loop-hen and tarzan on the die-rocket. Kayexalate, the kayak, is the prototypal gastrointestinal exchange resin and helps to excrete potassium via defecation. Drugs of this class more commonly used today include parotimer and zirconium cyclosilicate. Patients with hyperkalemia and impaired renal function should be referred to nephrology for urgent dialysis, the Dial-machine. Finally, prevention education of hyperkalemia should take place, shown by the prevention educator.So in quick review, hyperkalemia occurs when serum potassium is greater than 5 and leads to abdominal cramps, muscle weakness, and diarrhea. Furthermore, arrhythmias may occur, and EKG findings such as tall, peaked T waves may occur. Interventions include IV calcium, infusion of glucose and insulin, loop or thiazide diuretics, kayexalate, dialysis, and prevention education.

educational

story

hiker banana.png

HYPERKALEMIA.png

Hyperkalemia

Hyperkalemia and Hypokalemia

Potassium

Intern Content - Potassium

Assessment

weigh station greater than hand.png

> 5.0 mEq/L K+

Which of the following is most likely to be present in your assessment of a patient with hyperkalemia?

abs man with clamps.png

Abdominal Cramps

weak drooping muscle.png

Muscle Weakness

toliet.png

Diarrhea

broken arrhythmia drum.png

Arrhythmia

V Fib

Standstill

tall mr t on peaked wave.png

Tall, Peaked T Waves

Interventions

infusing glue bottle and insect syringe.png

Infusion of Glucose and Insulin

Which of the following interventions is most likely indicated in the treatment of hyperkalemia?

loop hen and tarzan on die rocket.png

Loop or Thiazide Diuretics

kayak.png

Kayexalate

 prevention educator.png

Prevention Education

Which of the following recommendations is most appropriate in the management of hyperkalemia?

iv calcium cow.png

IV Calcium

Which of the following medications is most likely used for short-term stabilization of patients with hyperkalemia?

 dial machine.png

Dialysis

Which of the following interventions is most likely to be used for the treatment of hyperkalemia in patients with ESRD?

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

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First Aid for the USMLE Step 1 2017

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Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Master The Boards USMLE Step 2 CK, 3E

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

PANCE Prep Pearls: 1st Ed, 2014

Pharmacology and the Nursing Process 8e, Lilley, Rainforth Collins, Snyder, 2017

STEP-UP to USMLE Step 2 CK, 4th Ed

This all-new version of our Hyperkalemia Picmonic has more facts, new art and audios. Isn't that bananas?!?

The hiker-banana loves bananas so much that he attempts to smuggle some through a sea port. His backpack, overflowing with contraband fruit, sets off a greater than 5 bananas scale, prompting him to book it and before he can be stopped. He attempts to distract officials by stuffing a passing ab-mans full of bananas and placing a clamp on him. “That should buy me some time”, he says as he is running. The rapid ingestion of bananas, however, causes our innocent bystander to develop weak-drooping-muscles. With an upset stomach, the poor guy had to crawl to the toilet and relieve himself of all those bananas. The hiker then tries to rush on to the boat, but a tall Mr. T on a peaked wave spies him from his lofty perch and sounds the alarm. He ends up hitting the alarm so hard that he breaks his arrhythmia-drum. Hearing this, the IV calcium cow leaps into action and fires on our increasingly panicking hiker. The glue-bottle with an insect-syringe lays a trap for him and covers the floor with glue. Then the loop-hen and tarzan on die-rockets fly in and knock the stuck hiker butt-first into the kayak. The dial-machine keeps a vigilant eye on our captured hiker while the prevention educator attempts to reeducate our banana-obsessed hiker on the error in his ways.&nbsp;

Prepare an infusion of insulin and glucose.

Picmonic uses mnemonics to help you develop NCLEX mastery so you can pass the NCLEX exam the first time. Free question for 05/2021/09

Picmonic NCLEX Question of the Day 05/2021/09

Picmonic NCLEX® Question of the Day

A 55-year-old, male patient presents to the emergency department with renal failure. He has abdominal cramps, diarrhea, and muscle weakness. The patient is placed on the ECG monitor, and the nurse notates an increase in amplitude of the T wave. What should be the nurse's priority intervention?

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