{"id":919,"date":"2023-08-24T14:38:21","date_gmt":"2023-08-24T12:38:21","guid":{"rendered":"https:\/\/ifevet.com\/fr\/?p=919"},"modified":"2025-01-14T17:22:57","modified_gmt":"2025-01-14T16:22:57","slug":"prise-en-charge-de-lhyperkaliemie","status":"publish","type":"post","link":"https:\/\/ifevet.com\/fr\/prise-en-charge-de-lhyperkaliemie\/","title":{"rendered":"Prise en charge de l’hyperkali\u00e9mie"},"content":{"rendered":"

Quand faut-il traiter l’hyperkali\u00e9mie ?<\/strong><\/p>\n

Il s’agit g\u00e9n\u00e9ralement de niveaux sup\u00e9rieurs \u00e0 6,5 mEq\/L. Au-del\u00e0 de 7,5 mEq\/L, le traitement doit \u00eatre plus agressif.<\/p>\n

 <\/p>\n

Quels sont les m\u00e9dicaments utilis\u00e9s pour la traiter?<\/strong><\/p>\n\n\n\n\n\n\n\n\n
M\u00e9dicaments<\/strong><\/td>\nDose<\/strong><\/td>\nM\u00e9canisme d’action<\/strong><\/td>\nCommentaires<\/strong><\/td>\n<\/tr>\n
Gluconate de calcium 10% Gluconate de calcium<\/td>\n0,5 – 1,5 ml\/kg en IV lente avec ECG<\/td>\nIl r\u00e9duit l’excitabilit\u00e9 cardiaque en r\u00e9tablissant le gradient entre le potentiel de repos et le seuil.<\/td>\nIl n’abaisse pas les niveaux mais assure la protection de la carte.<\/td>\n<\/tr>\n
Dextrose 50% Dextrose<\/td>\n0,5 – 1,-5 ml\/kg en IV lente<\/td>\nFavorise l’entr\u00e9e dans la cellule par l’activation de la pompe Na-KATPase<\/td>\nCompl\u00e9ter ensuite le s\u00e9rum avec 2,5 \u00e0 5 % de glucose.<\/td>\n<\/tr>\n
Insuline et dextrose 50%.<\/td>\n0,2 – 0,5 U\/kg d’insuline rapide et 2-4 4ml de glucose \u00e0 50% par unit\u00e9 d’insuline<\/td>\nFavorise l’entr\u00e9e dans la cellule par l’activation de la pompe Na-KATPase<\/td>\nCompl\u00e9ter ensuite le s\u00e9rum avec 2,5 \u00e0 5 % de glucose.<\/td>\n<\/tr>\n
Bicarbonate de sodium<\/td>\n1-2 mEq\/kg IV lent 15 min<\/td>\nAugmente le pH extracellulaire et favorise l’entr\u00e9e dans la cellule en \u00e9change d’hydrog\u00e8ne<\/td>\n<\/td>\n<\/tr>\n
Terbutaline<\/td>\n0,01 mg\/kg lent IV<\/td>\nFavorise l’entr\u00e9e dans la cellule par l’activation de la pompe Na-KATPase<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\u00c0 quelle fr\u00e9quence les valeurs sont-elles contr\u00f4l\u00e9es apr\u00e8s le d\u00e9but du traitement?<\/strong><\/p>\n

La surveillance horaire de leurs valeurs doit \u00eatre poursuivie jusqu’\u00e0 ce qu’elles soient \u00e9tablies dans l’intervalle < 6,5 mEq\/L et qu’elles y restent stables.<\/p>\n","protected":false},"excerpt":{"rendered":"

Quand faut-il traiter l’hyperkali\u00e9mie ? Il s’agit g\u00e9n\u00e9ralement de niveaux sup\u00e9rieurs \u00e0 6,5 mEq\/L. Au-del\u00e0 de 7,5 mEq\/L, le traitement doit \u00eatre plus agressif.   Quels sont les m\u00e9dicaments utilis\u00e9s pour la traiter? M\u00e9dicaments Dose M\u00e9canisme d’action Commentaires Gluconate de calcium 10% Gluconate de calcium 0,5 – 1,5 ml\/kg en IV lente avec ECG Il […]<\/p>\n","protected":false},"author":1,"featured_media":921,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[],"class_list":["post-919","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-contenu-clinique"],"yoast_head":"\nPrise en charge de l'hyperkali\u00e9mie - Ifevet International - Francia<\/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\/fr\/prise-en-charge-de-lhyperkaliemie\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Prise en charge de l'hyperkali\u00e9mie - Ifevet International - Francia\" \/>\n<meta property=\"og:description\" content=\"Quand faut-il traiter l’hyperkali\u00e9mie ? 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