MICU intern's survival guide hyperkalemia treatment: Difference between revisions

Jump to navigation Jump to search
(Created page with "{{CMG}} {{Hyperkalemia}} ==Overview== ==References== {{WH}}{{WS}}")
 
 
(6 intermediate revisions by the same user not shown)
Line 2: Line 2:
{{Hyperkalemia}}
{{Hyperkalemia}}
==Overview==
==Overview==
===Treatments based on rapidity of action===
Treatment based on rapidity of action (fastest to slowest). The choice of therapy also depends on severity of ECG findings and muscle weakness.
====Calcium supplements====
* [[Calcium]] supplements given only in [[hyperkalemia]] with significant [[Hyperkalemia electrocardiogram|EKG]] findings.
* Calcium stabilize cardiac membranes thus antagonizing effects of potassium.
* [[Calcium chloride]] 0.5 to 1 grams (5-10 ml of 10% solution) via intravenous infusion over 2-3 minutes ([[central lines]] are preferred)
* [[Calcium gluconate]] 1 gram (10 mL of 10 % solution) infused slowly. Peripheral as well as central lines can be used.
* Repeat calcium after 5 minutes for persistent EKG changes.
* Patient should be on cardiac monitor when calcium is administered.
* Calcium can increase [[digoxin]] toxicity.
* It has a transient effect so calcium therapy should be combined with other long effect therapy.
==References==
==References==
{{WH}}{{WS}}
{{WH}}{{WS}}

Latest revision as of 16:24, 4 January 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Hyperkalemia Microchapters

Home

Patient information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Hyperkalemia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural history, Complications and Prognosis

Diagnosis

Diagnostic Study of Choice

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X-ray

Echocardiography and Ultrasound

CT scan

MRI

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

MICU intern's survival guide hyperkalemia treatment On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of MICU intern's survival guide hyperkalemia treatment

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on MICU intern's survival guide hyperkalemia treatment

CDC on MICU intern's survival guide hyperkalemia treatment

MICU intern's survival guide hyperkalemia treatment in the news

Blogs on MICU intern's survival guide hyperkalemia treatment

Directions to Hospitals Treating Hyperkalemia

Risk calculators and risk factors for MICU intern's survival guide hyperkalemia treatment

Overview

Treatments based on rapidity of action

Treatment based on rapidity of action (fastest to slowest). The choice of therapy also depends on severity of ECG findings and muscle weakness.

Calcium supplements

  • Calcium supplements given only in hyperkalemia with significant EKG findings.
  • Calcium stabilize cardiac membranes thus antagonizing effects of potassium.
  • Calcium chloride 0.5 to 1 grams (5-10 ml of 10% solution) via intravenous infusion over 2-3 minutes (central lines are preferred)
  • Calcium gluconate 1 gram (10 mL of 10 % solution) infused slowly. Peripheral as well as central lines can be used.
  • Repeat calcium after 5 minutes for persistent EKG changes.
  • Patient should be on cardiac monitor when calcium is administered.
  • Calcium can increase digoxin toxicity.
  • It has a transient effect so calcium therapy should be combined with other long effect therapy.

References

Template:WHTemplate:WS