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Hyperkalemia on call can feel stressful, but having a simple framework makes it much easier. ECG, protect the heart, shift the potassium, remove it, then figure out why it happened. I’m turning this into a full On Call Series covering the common pages you actually get overnight. Follow for the next one! #medicine #resident #residency #oncall
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On August 14, four patients at Ascension Saint Thomas Midtown in Nashville received potassium phosphate instead of mepivacaine during spinal anesthesia for joint replacement surgery. I read the full 80-page federal inspection report so you don't have to. This part covers what happened, what the medication mix-up actually was, and why the hospital pharmacy was preparing spinal syringes in the first place. Federal surveyors issued three Immediate Jeopardy findings — the most serious citation CMS h
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