The document discusses the management of acute kidney injury and acute hyperkalemia, outlining treatment steps involving sodium bicarbonate and patiromer, a potassium-binding polymer. It emphasizes the role of calcium as cardioprotective but notes that it does not decrease potassium levels. The information is presented in a context related to a nephrology webinar conducted by Dr. Mohammed Abdel Gawad.

1. Acute Kidney Injury
Acute Hyperkalemia Management
Mohammed Abdel Gawad
Nephrology Consultant - Alexandria - Egypt
MD Nephrology - Mansoura University
NephroTube Founder/Admin
drgawad@gmail.com
NephroTube Webinar
June 2020

5. Treatment Steps

6. Treatment Steps

13. Sodium bicarbonate

14. Sodium bicarbonate

15. Treatment Steps

18. captures potassium in exchange for hydrogen and sodium

19. N Engl J Med 2015;
Patiromer is a non-absorbed, sodium-free potassium
binding polymer that exchanges calcium for potassium in
the gastrointestinal tract, thereby increasing faecal
potassium excretion and reducing serum potassium
levels.

20. Treatment Steps

22. Last Treatment line

24. First Treatment line

25. Ca is cardioprotective
Ca does not decrease K

26. Ca is cardioprotective
Ca does not decrease K

27. Treatment Steps

30. Thank You