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CPE-008 · Safety
AI-SAFE-01: Severe hyperkalemia or hypoglycemia with an adrenal clue
Severe hyperkalemia or hypoglycemia with an adrenal clue. Evaluates potassium ≥ 6.0 mmol/L OR glucose below 54 mg/dL.
Condition
- potassium ≥ 6.0 mmol/L OR glucose < 54 mg/dL
- with hyponatremia, hyperpigmentation, glucocorticoid use or an adrenal clue
What it reports
- Urgent assessment: severe metabolic derangement with features of adrenal insufficiency
Diagnostic boundary
- Routine outpatient pathway is not appropriate.
Evidence
- EV-RUSHWORTH-2019Rushworth RL, Torpy DJ, Falhammar H. Adrenal Crisis. N Engl J Med. 2019;381(9):852-861.Supports: Recognition of adrenal crisis and its precipitants
Cases where this rule fires
Open a case to see this rule fire with real inputs, then change the values until it stops.
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