![]() ![]() ECG changes may provide evidence of toxicity but may initially not be present. The risk of associated arrythmias and cardiac arrest increases in proportion to severity of elevated potassium and can be unpredictable. Severe hyperkalaemia (≥ 6.5 mmol/l) is potentially a life-threatening emergency. Report calcium gluconate medication errors or near misses via local risk management systems and medication errors that result in harm on a Yellow Card.Consider putting laminated treatment protocols for severe hyperkalaemia in relevant clinical areas.Consider using peri arrest/cardiac arrest audits to monitor standardised, safe practice across the board. Ensure relevant guidance and resources are embedded in clinical practice by revising local training and audit. ![]()
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