{"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":"

\u00bfCu\u00e1ndo hay que tratar la hiperkalemia?<\/strong><\/p>\n

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>\n

\u00bfQu\u00e9 f\u00e1rmacos usamos para tratarla?<\/strong><\/p>\n\n\n\n\n\n\n\n\n
F\u00e1rmaco<\/strong><\/td>\nDosis<\/strong><\/td>\nMecanismo acci\u00f3n<\/strong><\/td>\nComentarios<\/strong><\/td>\n<\/tr>\n
Gluconato c\u00e1lcico 10%<\/td>\n0.5 – 1.5 ml\/kg IV lento con ECG<\/td>\nReduce la excitabilidad card\u00edaca restableciendo el gradiente entre el potencial de reposo y el umbral<\/td>\nNo disminuye los niveles pero proporciona cardoprotecci\u00f3n<\/td>\n<\/tr>\n
Dextrosa 50%<\/td>\n0.5 – 1.-5 ml\/kg IV lento<\/td>\nFavorece entrada en la c\u00e9lula mediante activaci\u00f3n de la bomba Na-KATPasa<\/td>\nSuplementar suero posteriormente con 2.5 – 5% de glucosa<\/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>\nFavorece entrada en la c\u00e9lula mediante activaci\u00f3n de la bomba Na-KATPasa<\/td>\nSuplementar suero posteriormente con 2.5 – 5% de glucosa<\/td>\n<\/tr>\n
Bicarbonato s\u00f3dico<\/td>\n1-2 mEq\/kg IV lento 15 min<\/td>\nAumenta ph extracelular y favorece la entrada dentro de la c\u00e9lula a cambio de hidrogeniones<\/td>\n<\/td>\n<\/tr>\n
Terbutalina<\/td>\n0.01 mg\/kg IV lento<\/td>\nFavorece entrada en la c\u00e9lula mediante activaci\u00f3n de la bomba Na-KATPasa<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\u00bfCada cu\u00e1nto se monitorizan los valores una vez se empieza a tratar?<\/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","protected":false},"excerpt":{"rendered":"

\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.   \u00bfQu\u00e9 f\u00e1rmacos usamos para tratarla? F\u00e1rmaco Dosis Mecanismo acci\u00f3n Comentarios Gluconato c\u00e1lcico 10% 0.5 – 1.5 ml\/kg IV lento con ECG Reduce la excitabilidad card\u00edaca restableciendo el […]<\/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":"\nManejo 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.   \u00bfQu\u00e9 f\u00e1rmacos usamos para tratarla? F\u00e1rmaco Dosis Mecanismo acci\u00f3n Comentarios Gluconato c\u00e1lcico 10% 0.5 – 1.5 ml\/kg IV lento con ECG Reduce la excitabilidad card\u00edaca restableciendo el […]\" \/>\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\":\"WebPage\",\"@id\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/\",\"url\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/\",\"name\":\"Manejo de la hiperkalemia - Ifevet International - LATAM\",\"isPartOf\":{\"@id\":\"https:\/\/ifevet.com\/latam\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/#primaryimage\"},\"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\",\"datePublished\":\"2023-08-24T15:02:32+00:00\",\"dateModified\":\"2025-01-15T09:49:55+00:00\",\"author\":{\"@id\":\"https:\/\/ifevet.com\/latam\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238\"},\"breadcrumb\":{\"@id\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/#primaryimage\",\"url\":\"https:\/\/ifevet.com\/latam\/wp-content\/uploads\/sites\/7\/2023\/08\/manejo-de-la-hiperkalemia.jpg\",\"contentUrl\":\"https:\/\/ifevet.com\/latam\/wp-content\/uploads\/sites\/7\/2023\/08\/manejo-de-la-hiperkalemia.jpg\",\"width\":1000,\"height\":667},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ifevet.com\/latam\/manejo-de-la-hiperkalemia\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/ifevet.com\/latam\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Manejo de la hiperkalemia\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ifevet.com\/latam\/#website\",\"url\":\"https:\/\/ifevet.com\/latam\/\",\"name\":\"Ifevet International - LATAM\",\"description\":\"Instituto Internacional de Formaci\u00f3n Veterinaria\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ifevet.com\/latam\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/ifevet.com\/latam\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/ifevet.com\/latam\/#\/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\/latam\/author\/boadeche\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Manejo de la hiperkalemia - Ifevet International - LATAM","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\/latam\/manejo-de-la-hiperkalemia\/","og_locale":"es_ES","og_type":"article","og_title":"Manejo de la hiperkalemia - Ifevet International - LATAM","og_description":"\u00bfCu\u00e1ndo hay que tratar la hiperkalemia? 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