So you have a patient with known hyperkalemia in the admission, lets say it was running in the high 6s with some EKG changes and you have a good reason to think that's why he arrested.
You start ACLS and he has no central access or anything. What's the ideal timing and sequence of pushing meds? Immediately giving calcium gluconate (3g) with insulin/dextrose (5 and 25) followed by 100 bicarb? And re-dose calcium subsequently if no success while addressing other possible causes as acls continues?
You start ACLS and he has no central access or anything. What's the ideal timing and sequence of pushing meds? Immediately giving calcium gluconate (3g) with insulin/dextrose (5 and 25) followed by 100 bicarb? And re-dose calcium subsequently if no success while addressing other possible causes as acls continues?