The hyperkalemia sign-out

58M with hyperkalemia and AKI (bed 9), end of your day shift.

Select the 5 lines the night team actually needs, then commit.

• K was 7.1 with ECG changes this morning; treated, last value 5.6 at 14:00.
• Repeat potassium due at 22:00; if 6.0 or above: ECG, calcium if changes, insulin-dextrose, and call renal.
• Urine output must stay above 30 mL/hr; below that for 2 hours, call renal about dialysis planning.
• Ramipril and naproxen are held; do not restart tonight.
• He is diabetic on metformin at home.
• He came in after a barbecue where he had diarrhea.
• His knee pain started two weeks ago.
• IV access: two working cannulas; bloods drawn from the left.
• His daughter visited this afternoon and has questions tomorrow.
• Baseline creatinine is 130; today 361 and falling slightly.