{"id":37895,"date":"2023-08-24T15:16:48","date_gmt":"2023-08-24T15:16:48","guid":{"rendered":"https:\/\/ifevet.com\/?p=37895"},"modified":"2025-11-13T17:14:23","modified_gmt":"2025-11-13T16:14:23","slug":"umgang-mit-hyperkaliamie","status":"publish","type":"post","link":"https:\/\/ifevet.com\/de\/umgang-mit-hyperkaliamie\/","title":{"rendered":"Umgang mit Hyperkali\u00e4mie"},"content":{"rendered":"
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Wann sollte Hyperkali\u00e4mie behandelt werden?<\/strong><\/p>\n

In der Regel ab Werten \u00fcber 6,5 mEq\/L<\/strong>. Bei Werten \u00fcber 7,5 mEq\/L<\/strong> sollte die Behandlung aggressiver erfolgen.<\/p>\n

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Welche Medikamente werden zur Behandlung eingesetzt?<\/strong><\/p>\n

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\n\n\n\n\n\n\n\n\n\n
Medikament<\/strong><\/th>\nDosierung<\/strong><\/th>\nWirkmechanismus<\/strong><\/th>\nBemerkungen<\/strong><\/th>\n<\/tr>\n<\/thead>\n
10% Calciumgluconat<\/td>\n0,5 – 1,5 ml\/kg langsam IV unter EKG-Kontrolle<\/td>\nReduziert die kardiale Erregbarkeit, indem es das Gleichgewicht zwischen Ruhepotential und Schwellenpotential wiederherstellt<\/td>\nSenkt den Kaliumspiegel nicht, bietet jedoch Herzschutz<\/strong><\/td>\n<\/tr>\n
50% Dextrose<\/td>\n0,5 – 1,5 ml\/kg langsam IV<\/td>\nF\u00f6rdert den Eintritt von Kalium in die Zelle durch Aktivierung der Na-K-ATPase-Pumpe<\/td>\nDanach Fl\u00fcssigkeit mit 2,5 – 5% Glukose erg\u00e4nzen<\/td>\n<\/tr>\n
Insulin + 50% Dextrose<\/td>\n0,2 – 0,5 U\/kg schnell wirksames Insulin + 2-4 ml 50% Glukose pro Insulineinheit<\/td>\nF\u00f6rdert den Eintritt von Kalium in die Zelle durch Aktivierung der Na-K-ATPase-Pumpe<\/td>\nDanach Fl\u00fcssigkeit mit 2,5 – 5% Glukose erg\u00e4nzen<\/td>\n<\/tr>\n
Natriumbikarbonat<\/td>\n1-2 mEq\/kg langsam IV \u00fcber 15 Min<\/td>\nErh\u00f6ht den extrazellul\u00e4ren pH und f\u00f6rdert den Kaliumeinstrom in die Zelle gegen Wasserstoffionen<\/td>\n\u2014<\/td>\n<\/tr>\n
Terbutalin<\/td>\n0,01 mg\/kg langsam IV<\/td>\nF\u00f6rdert den Eintritt von Kalium in die Zelle durch Aktivierung der Na-K-ATPase-Pumpe<\/td>\n\u2014<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n
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Wie h\u00e4ufig sollten die Werte \u00fcberwacht werden, sobald die Behandlung begonnen wurde?<\/strong><\/p>\n

Die Kaliumwerte sollten st\u00fcndlich kontrolliert<\/strong> werden, bis sie in einem Bereich < 6,5 mEq\/L<\/strong> stabilisiert sind und dort dauerhaft bleiben.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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 <\/p>\n","protected":false},"excerpt":{"rendered":"

Wann sollte Hyperkali\u00e4mie behandelt werden? In der Regel ab Werten \u00fcber 6,5 mEq\/L. Bei Werten \u00fcber 7,5 mEq\/L sollte die Behandlung aggressiver erfolgen. Welche Medikamente werden zur Behandlung eingesetzt? Medikament Dosierung Wirkmechanismus Bemerkungen 10% Calciumgluconat 0,5 – 1,5 ml\/kg langsam IV unter EKG-Kontrolle Reduziert die kardiale Erregbarkeit, indem es das Gleichgewicht zwischen Ruhepotential und Schwellenpotential […]<\/p>\n","protected":false},"author":1,"featured_media":37896,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-37895","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-klinische-inhalte"],"yoast_head":"\nUmgang mit Hyperkali\u00e4mie - Ifevet International - Alemania<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/ifevet.com\/de\/umgang-mit-hyperkaliamie\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Umgang mit Hyperkali\u00e4mie - Ifevet International - Alemania\" \/>\n<meta property=\"og:description\" content=\"Wann sollte Hyperkali\u00e4mie behandelt werden? In der Regel ab Werten \u00fcber 6,5 mEq\/L. Bei Werten \u00fcber 7,5 mEq\/L sollte die Behandlung aggressiver erfolgen. Welche Medikamente werden zur Behandlung eingesetzt? Medikament Dosierung Wirkmechanismus Bemerkungen 10% Calciumgluconat 0,5 – 1,5 ml\/kg langsam IV unter EKG-Kontrolle Reduziert die kardiale Erregbarkeit, indem es das Gleichgewicht zwischen Ruhepotential und Schwellenpotential […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ifevet.com\/de\/umgang-mit-hyperkaliamie\/\" \/>\n<meta property=\"og:site_name\" content=\"Ifevet International - Alemania\" \/>\n<meta property=\"article:published_time\" content=\"2023-08-24T15:16:48+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-11-13T16:14:23+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ifevet.com\/de\/wp-content\/uploads\/sites\/19\/2023\/08\/manejo-de-la-hiperkalemia.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"667\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/umgang-mit-hyperkaliamie\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/umgang-mit-hyperkaliamie\\\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/#\\\/schema\\\/person\\\/dff617da2ff42828a70bf3d3e8ad0238\"},\"headline\":\"Umgang mit Hyperkali\u00e4mie\",\"datePublished\":\"2023-08-24T15:16:48+00:00\",\"dateModified\":\"2025-11-13T16:14:23+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/umgang-mit-hyperkaliamie\\\/\"},\"wordCount\":204,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/umgang-mit-hyperkaliamie\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/ifevet.com\\\/de\\\/wp-content\\\/uploads\\\/sites\\\/19\\\/2023\\\/08\\\/manejo-de-la-hiperkalemia.jpg\",\"articleSection\":[\"Klinische Inhalte\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/ifevet.com\\\/de\\\/umgang-mit-hyperkaliamie\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/ifevet.com\\\/de\\\/umgang-mit-hyperkaliamie\\\/\",\"url\":\"https:\\\/\\\/ifevet.com\\\/de\\\/umgang-mit-hyperkaliamie\\\/\",\"name\":\"Umgang mit Hyperkali\u00e4mie - 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