What is the first step in managing hyperkalemia?

In the management of hyperkalemia, addressing the underlying cause is critical as it allows for a targeted and effective treatment approach. Identifying and treating the reason behind elevated potassium levels can prevent further complications and symptoms associated with hyperkalemia, such as cardiac arrhythmias or muscle weakness.

For example, hyperkalemia can arise from conditions such as renal failure, certain medications, or metabolic disorders. By resolving the underlying issue—whether that involves adjusting medications, treating kidney problems, or other interventions—patients can see improvements in potassium levels and overall health.

The other options, while possibly relevant in a broader clinical context, do not directly tackle the root problem. Monitoring blood pressure is important in a comprehensive assessment but is not a primary step in directly managing hyperkalemia. Administering potassium supplements would exacerbate the condition, and initiating CPR is reserved for cases of cardiac arrest or severe compromise. Thus, addressing the underlying cause is the most appropriate first step.