{"id":772,"date":"2023-08-24T16:57:38","date_gmt":"2023-08-24T14:57:38","guid":{"rendered":"https:\/\/ifevet.com\/it\/?p=772"},"modified":"2025-01-10T12:31:15","modified_gmt":"2025-01-10T11:31:15","slug":"gestione-delliperkaliemia","status":"publish","type":"post","link":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/","title":{"rendered":"Gestione dell’iperkaliemia"},"content":{"rendered":"

Quando deve essere trattata l’iperkaliemia?<\/strong><\/p>\n

Di solito si tratta di livelli superiori a 6,5 mEq\/L. Al di sopra di 7,5 mEq\/L il trattamento deve essere pi\u00f9 aggressivo.<\/p>\n

 <\/p>\n

Quali farmaci utilizziamo per il trattamento?<\/strong><\/p>\n\n\n\n\n\n\n\n\n
Farmaco<\/strong><\/td>\nDose<\/strong><\/td>\nMeccanismo d’azione<\/strong><\/td>\nCommenti<\/strong><\/td>\n<\/tr>\n
Gluconato c\u00e1lcico 10%<\/td>\n0.5 – 1.5 ml\/kg IV lento con ECG<\/td>\nRiduce l’eccitabilit\u00e0 cardiaca ripristinando il gradiente tra il potenziale di riposo e la soglia.<\/td>\nNon abbassa i livelli, ma fornisce una cardoprotezione.<\/td>\n<\/tr>\n
Dextrosa 50%<\/td>\n0.5 – 1.-5 ml\/kg IV lento<\/td>\nPromuove l’ingresso nella cellula attraverso l’attivazione della pompa Na-KATPasi<\/td>\nSuccessivamente, integrare il siero con glucosio al 2,5-5%.<\/td>\n<\/tr>\n
Insulina y dextrosa al 50%<\/td>\n0.2 – 0.5 U\/kg de insulina r\u00e1pida y 2-4 4ml de glucosa 50% por cada unidad de insulina<\/td>\nPromuove l’ingresso nella cellula attraverso l’attivazione della pompa Na-KATPasi<\/td>\nSuccessivamente, integrare il siero con glucosio al 2,5-5%.<\/td>\n<\/tr>\n
Bicarbonato s\u00f3dico<\/td>\n1-2 mEq\/kg IV lento 15 min<\/td>\nAumenta il pH extracellulare e favorisce l’ingresso nella cellula in cambio di idrogenioni.<\/td>\n<\/td>\n<\/tr>\n
Terbutalina<\/td>\n0.01 mg\/kg IV lento<\/td>\nPromuove l’ingresso nella cellula attraverso l’attivazione della pompa Na-KATPasi<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

Con quale frequenza vengono monitorati i valori una volta iniziato il trattamento?<\/strong><\/p>\n

Se debe seguir una monitorizaci\u00f3n de sus valores cada hora hasta que se consiga establecerlos en un rango < 6.5 mEq\/L y se mantengan ah\u00ed de manera estable.<\/p>\n

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

Quando deve essere trattata l’iperkaliemia? Di solito si tratta di livelli superiori a 6,5 mEq\/L. Al di sopra di 7,5 mEq\/L il trattamento deve essere pi\u00f9 aggressivo.   Quali farmaci utilizziamo per il trattamento? Farmaco Dose Meccanismo d’azione Commenti Gluconato c\u00e1lcico 10% 0.5 – 1.5 ml\/kg IV lento con ECG Riduce l’eccitabilit\u00e0 cardiaca ripristinando il […]<\/p>\n","protected":false},"author":1,"featured_media":773,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[],"class_list":["post-772","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-contenuto-clinico"],"yoast_head":"\nGestione dell'iperkaliemia - Ifevet International - Italia<\/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\/it\/gestione-delliperkaliemia\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Gestione dell'iperkaliemia - Ifevet International - Italia\" \/>\n<meta property=\"og:description\" content=\"Quando deve essere trattata l’iperkaliemia? Di solito si tratta di livelli superiori a 6,5 mEq\/L. Al di sopra di 7,5 mEq\/L il trattamento deve essere pi\u00f9 aggressivo.   Quali farmaci utilizziamo per il trattamento? Farmaco Dose Meccanismo d’azione Commenti Gluconato c\u00e1lcico 10% 0.5 – 1.5 ml\/kg IV lento con ECG Riduce l’eccitabilit\u00e0 cardiaca ripristinando il […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/\" \/>\n<meta property=\"og:site_name\" content=\"Ifevet International - Italia\" \/>\n<meta property=\"article:published_time\" content=\"2023-08-24T14:57:38+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-10T11:31:15+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp\" \/>\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\/webp\" \/>\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\/it\/gestione-delliperkaliemia\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\/\/ifevet.com\/it\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238\"},\"headline\":\"Gestione dell’iperkaliemia\",\"datePublished\":\"2023-08-24T14:57:38+00:00\",\"dateModified\":\"2025-01-10T11:31:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/\"},\"wordCount\":224,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp\",\"articleSection\":[\"Contenuto clinico\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/\",\"url\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/\",\"name\":\"Gestione dell'iperkaliemia - Ifevet International - Italia\",\"isPartOf\":{\"@id\":\"https:\/\/ifevet.com\/it\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp\",\"datePublished\":\"2023-08-24T14:57:38+00:00\",\"dateModified\":\"2025-01-10T11:31:15+00:00\",\"author\":{\"@id\":\"https:\/\/ifevet.com\/it\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238\"},\"breadcrumb\":{\"@id\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#primaryimage\",\"url\":\"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp\",\"contentUrl\":\"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp\",\"width\":1000,\"height\":667},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/ifevet.com\/it\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Gestione dell’iperkaliemia\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ifevet.com\/it\/#website\",\"url\":\"https:\/\/ifevet.com\/it\/\",\"name\":\"Ifevet International - Italia\",\"description\":\"Istituto Internazionale di Formazione Veterinaria\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ifevet.com\/it\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/ifevet.com\/it\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/ifevet.com\/it\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/20465fd60955541e129d551ed1d61ddae99ffa7509c027093b176d15984feef3?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/20465fd60955541e129d551ed1d61ddae99ffa7509c027093b176d15984feef3?s=96&d=mm&r=g\",\"caption\":\"admin\"},\"sameAs\":[\"https:\/\/ifevet.com\"],\"url\":\"https:\/\/ifevet.com\/it\/author\/boadeche\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Gestione dell'iperkaliemia - Ifevet International - Italia","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/","og_locale":"es_ES","og_type":"article","og_title":"Gestione dell'iperkaliemia - Ifevet International - Italia","og_description":"Quando deve essere trattata l’iperkaliemia? Di solito si tratta di livelli superiori a 6,5 mEq\/L. Al di sopra di 7,5 mEq\/L il trattamento deve essere pi\u00f9 aggressivo.   Quali farmaci utilizziamo per il trattamento? Farmaco Dose Meccanismo d’azione Commenti Gluconato c\u00e1lcico 10% 0.5 – 1.5 ml\/kg IV lento con ECG Riduce l’eccitabilit\u00e0 cardiaca ripristinando il […]","og_url":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/","og_site_name":"Ifevet International - Italia","article_published_time":"2023-08-24T14:57:38+00:00","article_modified_time":"2025-01-10T11:31:15+00:00","og_image":[{"width":1000,"height":667,"url":"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp","type":"image\/webp"}],"author":"admin","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"admin","Tiempo de lectura":"2 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#article","isPartOf":{"@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/"},"author":{"name":"admin","@id":"https:\/\/ifevet.com\/it\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238"},"headline":"Gestione dell’iperkaliemia","datePublished":"2023-08-24T14:57:38+00:00","dateModified":"2025-01-10T11:31:15+00:00","mainEntityOfPage":{"@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/"},"wordCount":224,"commentCount":0,"image":{"@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#primaryimage"},"thumbnailUrl":"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp","articleSection":["Contenuto clinico"],"inLanguage":"es","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/","url":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/","name":"Gestione dell'iperkaliemia - Ifevet International - Italia","isPartOf":{"@id":"https:\/\/ifevet.com\/it\/#website"},"primaryImageOfPage":{"@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#primaryimage"},"image":{"@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#primaryimage"},"thumbnailUrl":"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp","datePublished":"2023-08-24T14:57:38+00:00","dateModified":"2025-01-10T11:31:15+00:00","author":{"@id":"https:\/\/ifevet.com\/it\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238"},"breadcrumb":{"@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#primaryimage","url":"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp","contentUrl":"https:\/\/ifevet.com\/it\/wp-content\/uploads\/sites\/14\/2023\/09\/manejo-de-la-hiperkalemia.webp","width":1000,"height":667},{"@type":"BreadcrumbList","@id":"https:\/\/ifevet.com\/it\/gestione-delliperkaliemia\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/ifevet.com\/it\/"},{"@type":"ListItem","position":2,"name":"Gestione dell’iperkaliemia"}]},{"@type":"WebSite","@id":"https:\/\/ifevet.com\/it\/#website","url":"https:\/\/ifevet.com\/it\/","name":"Ifevet International - Italia","description":"Istituto Internazionale di Formazione Veterinaria","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ifevet.com\/it\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Person","@id":"https:\/\/ifevet.com\/it\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238","name":"admin","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/ifevet.com\/it\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/20465fd60955541e129d551ed1d61ddae99ffa7509c027093b176d15984feef3?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/20465fd60955541e129d551ed1d61ddae99ffa7509c027093b176d15984feef3?s=96&d=mm&r=g","caption":"admin"},"sameAs":["https:\/\/ifevet.com"],"url":"https:\/\/ifevet.com\/it\/author\/boadeche\/"}]}},"_links":{"self":[{"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/posts\/772","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/comments?post=772"}],"version-history":[{"count":1,"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/posts\/772\/revisions"}],"predecessor-version":[{"id":774,"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/posts\/772\/revisions\/774"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/media\/773"}],"wp:attachment":[{"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/media?parent=772"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/categories?post=772"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ifevet.com\/it\/wp-json\/wp\/v2\/tags?post=772"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}