TABLE 1

Causes of hyperkalemia

Pseudohyperkalemia
Cellular redistribution
Mineral acidosis
Hypertonicity
Insulin deficiency
Beta-blockers (impair cell uptake of potassium)
Alpha adrenergic stimulation
Hyperkalemic periodic paralysis
Cell injury
Excess intake
(almost always in setting of impaired renal potassium excretion)
Decreased renal excretion
Decreased distal delivery of sodium (oliguric renal failure)
Mineralocorticoid deficiency
Defect of cortical collecting tubule