Hyperkalemia with ECG change
Educational use only. Not clinically reviewed67-year-old man for Emergency membrane stabilization, potassium shift, removal, and reassessment. About 9 simulated minutes.
What you will practise
- Confirm severe hyperkalemia, review the ECG and whole-patient state, and identify reversible drivers.
- Record immediate IV calcium-salt intent for ECG toxicity and repeat the ECG.
- Record insulin-glucose intent with structured glucose monitoring and an adjunct beta-2 agonist intent.
- Stop contributors, activate renal expertise, and record potassium-removal and dialysis-contingency intent.
- Review fixed repeat potassium, ECG, glucose, and renal findings and continue rebound surveillance.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- UK Kidney Association. Clinical Practice Guideline: Management of Hyperkalaemia in Adults. October 2023.
- Medicines and Healthcare products Regulatory Agency. Calcium chloride, calcium gluconate: potential risk of underdosing with calcium gluconate in severe hyperkalaemia. June 2023.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.