87 year old with CCF presents withLife threatening hyperkalaemia requiring urgent treatment.

NAGMA with hyperkalaemia and hyponatraemia

mild acute renal failure

haemodynamically stable

mild hyperchloraemia

Likely causes include:

Spironolactone excess

Endocrine cause – Addison’s

Other:

Excess Saline administration

Diarrhoea

Enteric fistulas

RTA