Hypokalemia: Difference between revisions

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== Additional Info ==
== Additional Info ==
{{ICD10 Guideline repeated events}}
*The single criterion for coding this is K+ <=2.5  
 
*Presence/absence of signs or symptoms are not part of the coding criterion, though they are:
*The criteria for coding this is any of the 3 following items: (New Feb 12.18)
**K+ < 2.5 '''OR'''
**K+ < 3.0 with signs or symptoms believed to be due to hypokalemia '''OR'''
**K+ < 3.0 with active treatment for hypokalemia 
*Main signs/symptoms of hypokalemia are:
**cardiovascular - abnormal ECG (U waves, ST-depression, flat T's,) atrial and ventricular ectopy, digoxin toxicity
**cardiovascular - abnormal ECG (U waves, ST-depression, flat T's,) atrial and ventricular ectopy, digoxin toxicity
**neuromuscular - weakness, decreased DTRs, orthostatic hypotension * paralysis, rhabdomyolysis
**neuromuscular - weakness, decreased DTRs, orthostatic hypotension, paralysis
**GI - constipation * ileus, worsened hepatic encephalopathy
**GI - constipation * ileus, worsened hepatic encephalopathy
**renal - nephrogenic DI, metabolic alkalosis, decreased GFR and RBF, increased NH3 production * Na+ retention, Cl- wasting, polydipsia\polyuria
**renal - nephrogenic DI, metabolic alkalosis, decreased GFR and RBF, increased NH3 production * Na+ retention, Cl- wasting, polydipsia\polyuria
**other - rhabdomyolysis
{{ICD10 Guideline Electrolytes}}
{{ICD10 Guideline repeated events}}


== Alternate ICD10s to consider coding instead or in addition ==
== Alternate ICD10s to consider coding instead or in addition ==