Beta-Agonist Alternatives to Nebulized Albuterol for Treatment of Hyperkalemia

Today’s pearl provides some alternative methods to treat patients with hyperkalemia if nebulized albuterol is not an option.

What route? Which medication? How much?
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2018 AHA Focused Update


The year 2005 was full of milestones, YouTube was founded in February and it was also the last time lidocaine was included in the American Heart Association (AHA) Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Adult Cardiac Arrest Algorithm.1 Since 2010, we have been directed by the guidelines to utilize amiodarone as the sole first-line antidysrhythmic.2 At the same time, there has been an increased focus on early defibrillation and proper CPR technique as opposed to medication administration. In 2015, the International Liaison Committee on Resuscitation (ILCOR) moved away from publishing guideline updates every 5 years to a continuous process wherein they provide updates as the literature dictates.3

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