Derranged Electrolytes

Question 1

What drugs cause hyperkalaemia?

Answer 1

1. ACEi/ARBs
2. Mineralocoritoid receptor antagonists (spironolactone, eplerone)
3. NSAIDs
4. Heparins
5. Calcinurin inhibitors (tacrolimis, ciclosporin)
6. Trimethoprim

Question 2

What drugs cause hypokalaemia?

Answer 2

1. Loop diuretics + thiazides
2. SABA/LAMA
3. Xanthines (aminophylline, theophylline)
4. Corticosteroids
5. Laxatives

Question 3

What level means hyperkalaemia and what are the symptoms?

Answer 3

Above 5.5mmol
- general weakness
- fatigue
- palpitations
- chest pain
- SOB