Get out of autopilot! In hyperkalemic cardiac arrest, order DOES alter survival. 🛑⚡

If the patient collapses and you suspect sky-high potassium, standard resuscitation isn't enough. You need a brutally honest tactical strategy and in this exact order:

1️⃣ REGULATE (Calcium NOW!): Your absolute and immediate priority is to regulate transmembrane conduction. Administer IV/IO Calcium at the slightest suspicion or ECG change.

2️⃣ SHIFT: Get potassium into the cell fast. Your main weapon is Insulin + Dextrose. If you have an airway and circuit, add high-dose nebulized Salbutamol (10–20 mg in adults) for a real kaliopenic effect. Physiological fact: The Adrenaline you administer every 3-5 minutes during CPR already provides a B2 effect that promotes this entry, but it doesn't replace Insulin!.

3️⃣ ELIMINATE: This is done strictly after regaining pulse (Post-ROSC). Consider early hemodialysis or loop diuretics when perfusion allows. ⚠️ Zero resins during the arrest scenario; their usefulness is limited.

💡 REASEL PEARL: While resuscitating, find and stop the cause. Was succinylcholine administered? Does the patient have kidney failure, rhabdomyolysis, or a massive transfusion? Also, if you suspect hyperkalemia with digoxin toxicity, prioritize insulin and use calcium with caution.

Swipe to the end and capture the full summary of slide 07.

💾 SAVE THIS CAROUSEL FOR YOUR NEXT SHIFT! You'll be grateful to have these exact doses on hand at 3 AM when the monitor distorts.

🔗 Read the complete, detailed, and updated protocol here: rafaherreraacpv.substac…

👇 Comment the word HYPERKALEMIA and I'll send you this guide directly to your messages so you can master the algorithm. 📩