{"id":39381,"date":"2023-08-24T15:02:32","date_gmt":"2023-08-24T15:02:32","guid":{"rendered":"https:\/\/ifevet.com\/latam\/?p=39381"},"modified":"2025-01-15T09:49:55","modified_gmt":"2025-01-15T09:49:55","slug":"manejo-de-la-hiperkalemia","status":"publish","type":"post","link":"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/","title":{"rendered":"Manejo de la hiperkalemia"},"content":{"rendered":"<p><strong>\u00bfCu\u00e1ndo hay que tratar la hiperkalemia?<\/strong><\/p>\n<p>Suele ser a partir de niveles superiores a 6.5 mEq\/L. Por encima de 7.5 mEq\/L el tratamiento debe ser m\u00e1s agresivo.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>\u00bfQu\u00e9 f\u00e1rmacos usamos para tratarla?<\/strong><\/p>\n<table style=\"border-collapse: collapse; width: 100%; height: 144px;\">\n<tbody>\n<tr style=\"background-color: ##1683c6;\">\n<td style=\"width: 25%; height: 24px; text-align: center;\"><strong>F\u00e1rmaco<\/strong><\/td>\n<td style=\"width: 25%; height: 24px; text-align: center;\"><strong>Dosis<\/strong><\/td>\n<td style=\"width: 25%; height: 24px; text-align: center;\"><strong>Mecanismo acci\u00f3n<\/strong><\/td>\n<td style=\"width: 25%; height: 24px; text-align: center;\"><strong>Comentarios<\/strong><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 25%; height: 24px;\">Gluconato c\u00e1lcico 10%<\/td>\n<td style=\"width: 25%; height: 24px;\">0.5 &#8211; 1.5 ml\/kg IV lento con ECG<\/td>\n<td style=\"width: 25%; height: 24px;\">Reduce la excitabilidad card\u00edaca restableciendo el gradiente entre el potencial de reposo y el umbral<\/td>\n<td style=\"width: 25%; height: 24px;\">No disminuye los niveles pero proporciona cardoprotecci\u00f3n<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 25%; height: 24px;\">Dextrosa 50%<\/td>\n<td style=\"width: 25%; height: 24px;\">0.5 &#8211; 1.-5 ml\/kg IV lento<\/td>\n<td style=\"width: 25%; height: 24px;\">Favorece entrada en la c\u00e9lula mediante activaci\u00f3n de la bomba Na-KATPasa<\/td>\n<td style=\"width: 25%; height: 24px;\">Suplementar suero posteriormente con 2.5 &#8211; 5% de glucosa<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 25%; height: 24px;\">Insulina y dextrosa al 50%<\/td>\n<td style=\"width: 25%; height: 24px;\">0.2 &#8211; 0.5 U\/kg de insulina r\u00e1pida y 2-4 4ml de glucosa 50% por cada unidad de insulina<\/td>\n<td style=\"width: 25%; height: 24px;\">Favorece entrada en la c\u00e9lula mediante activaci\u00f3n de la bomba Na-KATPasa<\/td>\n<td style=\"width: 25%; height: 24px;\">Suplementar suero posteriormente con 2.5 &#8211; 5% de glucosa<\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 25%; height: 24px;\">Bicarbonato s\u00f3dico<\/td>\n<td style=\"width: 25%; height: 24px;\">1-2 mEq\/kg IV lento 15 min<\/td>\n<td style=\"width: 25%; height: 24px;\">Aumenta ph extracelular y favorece la entrada dentro de la c\u00e9lula a cambio de hidrogeniones<\/td>\n<td style=\"width: 25%; height: 24px;\"><\/td>\n<\/tr>\n<tr style=\"height: 24px;\">\n<td style=\"width: 25%; height: 24px;\">Terbutalina<\/td>\n<td style=\"width: 25%; height: 24px;\">0.01 mg\/kg IV lento<\/td>\n<td style=\"width: 25%; height: 24px;\">Favorece entrada en la c\u00e9lula mediante activaci\u00f3n de la bomba Na-KATPasa<\/td>\n<td style=\"width: 25%; height: 24px;\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong>\u00bfCada cu\u00e1nto se monitorizan los valores una vez se empieza a tratar?<\/strong><\/p>\n<p>Se debe seguir una monitorizaci\u00f3n de sus valores cada hora hasta que se consiga establecerlos en un rango &lt; 6.5 mEq\/L y se mantengan ah\u00ed de manera estable.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00bfCu\u00e1ndo hay que tratar la hiperkalemia? Suele ser a partir de niveles superiores a 6.5 mEq\/L. Por encima de 7.5 mEq\/L el tratamiento debe ser m\u00e1s agresivo. &nbsp; \u00bfQu\u00e9 f\u00e1rmacos usamos para tratarla? F\u00e1rmaco Dosis Mecanismo acci\u00f3n Comentarios Gluconato c\u00e1lcico 10% 0.5 &#8211; 1.5 ml\/kg IV lento con ECG Reduce la excitabilidad card\u00edaca restableciendo el [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":39382,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[55],"tags":[],"class_list":["post-39381","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-contenido-clinico"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.1.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Manejo de la hiperkalemia - Ifevet International - LATAM<\/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\/latam\/manejo-de-la-hiperkalemia\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Manejo de la hiperkalemia - Ifevet International - LATAM\" \/>\n<meta property=\"og:description\" content=\"\u00bfCu\u00e1ndo hay que tratar la hiperkalemia? Suele ser a partir de niveles superiores a 6.5 mEq\/L. Por encima de 7.5 mEq\/L el tratamiento debe ser m\u00e1s agresivo. &nbsp; \u00bfQu\u00e9 f\u00e1rmacos usamos para tratarla? F\u00e1rmaco Dosis Mecanismo acci\u00f3n Comentarios Gluconato c\u00e1lcico 10% 0.5 &#8211; 1.5 ml\/kg IV lento con ECG Reduce la excitabilidad card\u00edaca restableciendo el [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/\" \/>\n<meta property=\"og:site_name\" content=\"Ifevet International - LATAM\" \/>\n<meta property=\"article:published_time\" content=\"2023-08-24T15:02:32+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-15T09:49:55+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ifevet.com\/latam\/wp-content\/uploads\/sites\/7\/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\/latam\/manejo-de-la-hiperkalemia\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/\"},\"author\":{\"name\":\"admin\",\"@id\":\"https:\/\/ifevet.com\/latam\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238\"},\"headline\":\"Manejo de la hiperkalemia\",\"datePublished\":\"2023-08-24T15:02:32+00:00\",\"dateModified\":\"2025-01-15T09:49:55+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/\"},\"wordCount\":235,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ifevet.com\/latam\/wp-content\/uploads\/sites\/7\/2023\/08\/manejo-de-la-hiperkalemia.jpg\",\"articleSection\":[\"Contenido cl\u00ednico\"],\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/\",\"url\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/\",\"name\":\"Manejo de la hiperkalemia - 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