{"id":39644,"date":"2023-08-24T15:25:52","date_gmt":"2023-08-24T15:25:52","guid":{"rendered":"https:\/\/ifevet.com\/pt\/?p=39644"},"modified":"2025-01-10T15:51:11","modified_gmt":"2025-01-10T15:51:11","slug":"tratamento-da-hipercalemia","status":"publish","type":"post","link":"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/","title":{"rendered":"Tratamento da hipercalemia"},"content":{"rendered":"

Quando deve ser tratada a hipercalemia?<\/strong><\/p>\n

Em geral, a partir de n\u00edveis acima de 6,5 mEq\/L. Acima de 7,5 mEq\/L, o tratamento deve ser mais agressivo.<\/p>\n

 <\/p>\n

Que medicamentos s\u00e3o usados para tratar a hipercalemia?<\/strong><\/p>\n\n\n\n\n\n\n\n\n
Medicamentos<\/strong><\/td>\nDose\u00a0<\/strong><\/td>\nMecanismo de a\u00e7\u00e3o\u00a0<\/strong><\/td>\nObserva\u00e7\u00f5es<\/strong><\/td>\n<\/tr>\n
Gluconato de c\u00e1lcio a 10%<\/td>\n0,5 – 1,5 ml\/kg IV lento com ECG<\/td>\nReduz a excitabilidade card\u00edaca restaurando o gradiente entre o potencial de repouso e o limiar<\/td>\nN\u00e3o baixa os n\u00edveis mas proporciona cardoprotec\u00e7\u00e3o<\/td>\n<\/tr>\n
Dextrose 50%<\/td>\n0,5 – 1,-5 ml\/kg IV lento<\/td>\nPromove a entrada na c\u00e9lula atrav\u00e9s da ativa\u00e7\u00e3o da bomba Na-KATPase<\/td>\nSuplementar o soro posteriormente com 2,5 – 5% de glucose<\/td>\n<\/tr>\n
Insulina e dextrose a 50%<\/td>\n0,2 – 0,5 U\/kg de insulina r\u00e1pida e 2-4 4 ml de glucose a 50% por cada unidade de insulina<\/td>\nPromove a entrada na c\u00e9lula atrav\u00e9s da ativa\u00e7\u00e3o da bomba Na-KAT<\/td>\nPase Suplementar o soro posteriormente com 2,5 – 5% de glucose<\/td>\n<\/tr>\n
Bicarbonato de s\u00f3dio<\/td>\n1-2 mEq\/kg IV lento 15 min<\/td>\nAumenta o pH extracelular e favorece a entrada na c\u00e9lula em troca de hidrogeni\u00f5es<\/td>\n<\/td>\n<\/tr>\n
Terbutalina<\/td>\n0,01 mg\/kg lento IV<\/td>\nPromove a entrada de c\u00e9lulas atrav\u00e9s da ativa\u00e7\u00e3o da bomba Na-KATPase<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

Com que frequ\u00eancia s\u00e3o monitorizados os valores ap\u00f3s o in\u00edcio do tratamento?<\/strong><\/p>\n

Os valores devem ser monitorizados de hora a hora at\u00e9 se estabelecerem no intervalo < 6,5 mEq\/L e a\u00ed permanecerem est\u00e1veis.<\/p>\n","protected":false},"excerpt":{"rendered":"

Quando deve ser tratada a hipercalemia? Em geral, a partir de n\u00edveis acima de 6,5 mEq\/L. Acima de 7,5 mEq\/L, o tratamento deve ser mais agressivo.   Que medicamentos s\u00e3o usados para tratar a hipercalemia? Medicamentos Dose\u00a0 Mecanismo de a\u00e7\u00e3o\u00a0 Observa\u00e7\u00f5es Gluconato de c\u00e1lcio a 10% 0,5 – 1,5 ml\/kg IV lento com ECG Reduz […]<\/p>\n","protected":false},"author":1,"featured_media":39646,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[46],"tags":[],"class_list":["post-39644","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-conteudo-clinico"],"yoast_head":"\nTratamento da hipercalemia - Ifevet International - Portugal<\/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\/pt\/tratamento-da-hipercalemia\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tratamento da hipercalemia - Ifevet International - Portugal\" \/>\n<meta property=\"og:description\" content=\"Quando deve ser tratada a hipercalemia? Em geral, a partir de n\u00edveis acima de 6,5 mEq\/L. Acima de 7,5 mEq\/L, o tratamento deve ser mais agressivo.   Que medicamentos s\u00e3o usados para tratar a hipercalemia? Medicamentos Dose\u00a0 Mecanismo de a\u00e7\u00e3o\u00a0 Observa\u00e7\u00f5es Gluconato de c\u00e1lcio a 10% 0,5 – 1,5 ml\/kg IV lento com ECG Reduz […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/\" \/>\n<meta property=\"og:site_name\" content=\"Ifevet International - Portugal\" \/>\n<meta property=\"article:published_time\" content=\"2023-08-24T15:25:52+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-01-10T15:51:11+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/08\/tratamento-da-hipercalemia.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\/pt\/tratamento-da-hipercalemia\/\",\"url\":\"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/\",\"name\":\"Tratamento da hipercalemia - Ifevet International - Portugal\",\"isPartOf\":{\"@id\":\"https:\/\/ifevet.com\/pt\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/08\/tratamento-da-hipercalemia.jpg\",\"datePublished\":\"2023-08-24T15:25:52+00:00\",\"dateModified\":\"2025-01-10T15:51:11+00:00\",\"author\":{\"@id\":\"https:\/\/ifevet.com\/pt\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238\"},\"breadcrumb\":{\"@id\":\"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#breadcrumb\"},\"inLanguage\":\"es\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#primaryimage\",\"url\":\"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/08\/tratamento-da-hipercalemia.jpg\",\"contentUrl\":\"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/08\/tratamento-da-hipercalemia.jpg\",\"width\":1000,\"height\":667},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Portada\",\"item\":\"https:\/\/ifevet.com\/pt\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Tratamento da hipercalemia\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/ifevet.com\/pt\/#website\",\"url\":\"https:\/\/ifevet.com\/pt\/\",\"name\":\"Ifevet International - Portugal\",\"description\":\"Instituto Internacional de Forma\u00e7\u00e3o Veterin\u00e1ria\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/ifevet.com\/pt\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"es\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/ifevet.com\/pt\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238\",\"name\":\"admin\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"es\",\"@id\":\"https:\/\/ifevet.com\/pt\/#\/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\/pt\/author\/boadeche\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Tratamento da hipercalemia - Ifevet International - Portugal","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\/pt\/tratamento-da-hipercalemia\/","og_locale":"es_ES","og_type":"article","og_title":"Tratamento da hipercalemia - Ifevet International - Portugal","og_description":"Quando deve ser tratada a hipercalemia? Em geral, a partir de n\u00edveis acima de 6,5 mEq\/L. Acima de 7,5 mEq\/L, o tratamento deve ser mais agressivo.   Que medicamentos s\u00e3o usados para tratar a hipercalemia? Medicamentos Dose\u00a0 Mecanismo de a\u00e7\u00e3o\u00a0 Observa\u00e7\u00f5es Gluconato de c\u00e1lcio a 10% 0,5 – 1,5 ml\/kg IV lento com ECG Reduz […]","og_url":"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/","og_site_name":"Ifevet International - Portugal","article_published_time":"2023-08-24T15:25:52+00:00","article_modified_time":"2025-01-10T15:51:11+00:00","og_image":[{"width":1000,"height":667,"url":"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/08\/tratamento-da-hipercalemia.jpg","type":"image\/jpeg"}],"author":"admin","twitter_card":"summary_large_image","twitter_misc":{"Escrito por":"admin","Tiempo de lectura":"2 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/","url":"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/","name":"Tratamento da hipercalemia - Ifevet International - Portugal","isPartOf":{"@id":"https:\/\/ifevet.com\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#primaryimage"},"image":{"@id":"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#primaryimage"},"thumbnailUrl":"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/08\/tratamento-da-hipercalemia.jpg","datePublished":"2023-08-24T15:25:52+00:00","dateModified":"2025-01-10T15:51:11+00:00","author":{"@id":"https:\/\/ifevet.com\/pt\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238"},"breadcrumb":{"@id":"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#breadcrumb"},"inLanguage":"es","potentialAction":[{"@type":"ReadAction","target":["https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/"]}]},{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#primaryimage","url":"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/08\/tratamento-da-hipercalemia.jpg","contentUrl":"https:\/\/ifevet.com\/pt\/wp-content\/uploads\/sites\/9\/2023\/08\/tratamento-da-hipercalemia.jpg","width":1000,"height":667},{"@type":"BreadcrumbList","@id":"https:\/\/ifevet.com\/pt\/tratamento-da-hipercalemia\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Portada","item":"https:\/\/ifevet.com\/pt\/"},{"@type":"ListItem","position":2,"name":"Tratamento da hipercalemia"}]},{"@type":"WebSite","@id":"https:\/\/ifevet.com\/pt\/#website","url":"https:\/\/ifevet.com\/pt\/","name":"Ifevet International - Portugal","description":"Instituto Internacional de Forma\u00e7\u00e3o Veterin\u00e1ria","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/ifevet.com\/pt\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"es"},{"@type":"Person","@id":"https:\/\/ifevet.com\/pt\/#\/schema\/person\/dff617da2ff42828a70bf3d3e8ad0238","name":"admin","image":{"@type":"ImageObject","inLanguage":"es","@id":"https:\/\/ifevet.com\/pt\/#\/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\/pt\/author\/boadeche\/"}]}},"_links":{"self":[{"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/posts\/39644","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/comments?post=39644"}],"version-history":[{"count":4,"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/posts\/39644\/revisions"}],"predecessor-version":[{"id":39650,"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/posts\/39644\/revisions\/39650"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/media\/39646"}],"wp:attachment":[{"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/media?parent=39644"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/categories?post=39644"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ifevet.com\/pt\/wp-json\/wp\/v2\/tags?post=39644"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}