{"id":3774,"date":"2024-06-18T11:49:01","date_gmt":"2024-06-18T09:49:01","guid":{"rendered":"https:\/\/ifevet.com\/uk\/?p=3774"},"modified":"2024-06-18T11:49:01","modified_gmt":"2024-06-18T09:49:01","slug":"management-of-hyperkalemia","status":"publish","type":"post","link":"https:\/\/ifevet.com\/amea\/management-of-hyperkalemia\/","title":{"rendered":"Management of Hyperkalemia"},"content":{"rendered":"

When should hyperkalemia be treated?<\/strong><\/p>\n

It is usually from levels above 6.5 mEq\/L. Above 7.5 mEq\/L treatment should be more aggressive.<\/p>\n

 <\/p>\n

\u00bfQu\u00e9 f\u00e1rmacos usamos para tratarla?<\/strong><\/p>\n\n\n\n\n\n\n\n\n
Drug<\/strong><\/td>\nDose<\/strong><\/td>\nMechanism of action<\/strong><\/td>\nComments<\/strong><\/td>\n<\/tr>\n
Calcium gluconate 10%<\/td>\n0.5 – 1.5 ml\/kg slow IV with ECG<\/td>\nIt reduces cardiac excitability by restoring the gradient between resting potential and threshold.<\/td>\nIt does not lower levels but provides cardoprotection.<\/td>\n<\/tr>\n
Dextrose 50%<\/td>\n\u00a00.5 – 1.-5 ml\/kg slow IV<\/td>\nPromotes entry into the cell by activation of the Na-KATPase pump<\/td>\nSubsequently supplement serum with 2.5 – 5% glucose.<\/td>\n<\/tr>\n
Insulin and dextrose 50%.<\/td>\n\u00a00.2 – 0.5 U\/kg of rapid insulin and 2-4 4ml of 50% glucose per unit of insulin<\/td>\nPromotes entry into the cell by activation of the Na-KATPase pump<\/td>\nSubsequently supplement serum with 2.5 – 5% glucose.<\/td>\n<\/tr>\n
Sodium bicarbonate<\/td>\n1-2 mEq\/kg IV slow 15 min<\/td>\nIncreases extracellular pH and favours entry into the cell in exchange for hydrogen<\/td>\n<\/td>\n<\/tr>\n
Terbutaline<\/td>\n0.01 mg\/kg slow IV<\/td>\nPromotes entry into the cell by activation of the Na-KATPase pump<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

How often are values monitored once treatment is started?<\/strong><\/p>\n

Your values should be monitored hourly until they are established in the < 6.5 mEq\/L range and remain stable there.<\/p>\n","protected":false},"excerpt":{"rendered":"

When should hyperkalemia be treated? It is usually from levels above 6.5 mEq\/L. Above 7.5 mEq\/L treatment should be more aggressive.   \u00bfQu\u00e9 f\u00e1rmacos usamos para tratarla? Drug Dose Mechanism of action Comments Calcium gluconate 10% 0.5 – 1.5 ml\/kg slow IV with ECG It reduces cardiac excitability by restoring the gradient between resting potential […]<\/p>\n","protected":false},"author":1,"featured_media":3775,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[],"class_list":["post-3774","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinical-content"],"_links":{"self":[{"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/posts\/3774","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/comments?post=3774"}],"version-history":[{"count":0,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/posts\/3774\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/media\/3775"}],"wp:attachment":[{"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/media?parent=3774"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/categories?post=3774"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ifevet.com\/amea\/wp-json\/wp\/v2\/tags?post=3774"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}