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Hyperkalemia – Management Nursing Mnemonic

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  • A-Administer IV Calcium – to immediately decrease cardiac toxicity
  • I-Increase excretion – via both stool (kayexlate) and urine (diuretics)
  • R-Remove sources of potassium – from all sources, including enteral, pareteral, IV, and PO
  • E-Enhance potassium uptake into cells – insulin, glucose, sodium bicarb, beta-adrenergic antagonists
  • Dialysis – emergent response for patients with lethal hyperkalemia


Remember the word AIRED to know what interventinos are used to manage hyperkalemia. The ultimate goal is to reduce the amount of circulating potassium and to protect the heart from the dangerous effects of hyperkalemia