Management of acute pediatric hyperkalemia

ECG: electrocardiogram; IV: intravenous.
* Electrocardiographic changes suggestive of hyperkalemia include widening of the QRS complex, loss of P waves, or arrhythmias, but not isolated peaked T waves.
¶ For details of therapy, please refer to UpToDate topics on the management of hyperkalemia in children.
Δ Nonemergent therapy given as adjunctive therapy to patients who receive emergent therapy and for patients with acute asymptomatic hyperkalemia with potassium levels <7 mEq/L not at risk for continued rise in potassium.