Acute hyperkalemia in adults

被引:4
作者
Emektar, Emine [1 ,2 ]
机构
[1] Ankara Atatżrk Sanatoryum Training & Res Hosp, Dept Emergency Med, Ankara, Turkiye
[2] Sokak 25, TR-06280 Ankara, Turkiye
来源
TURKISH JOURNAL OF EMERGENCY MEDICINE | 2023年 / 23卷 / 02期
关键词
Acute hyperkalemia; adults; emergency department; hypoglycemia; insulin; potassium; POINT-OF-CARE; RESUSCITATION COUNCIL GUIDELINES; EMERGENCY-DEPARTMENT; KIDNEY-DISEASE; CARDIAC-ARREST; POTASSIUM; PSEUDOHYPERKALEMIA; HYPOGLYCEMIA; DIGITALIS; MANAGEMENT;
D O I
10.4103/tjem.tjem_288_22
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Hyperkalemia is a common, life-threatening medical situation in chronic renal disease patients in the emergency department (ED). Since hyperkalemia does not present with any specific symptom, it is difficult to diagnose clinically. Hyperkalemia causes broad and dramatic medical presentations including cardiac arrhythmia and sudden death. Hyperkalemia is generally determined through serum measurement in the laboratory. Treatment includes precautions to stabilize cardiac membranes, shift potassium from the extracellular to the intracellular, and increase potassium excretion. The present article discusses the management of hyperkalemia in the ED in the light of current evidence.
引用
收藏
页码:75 / 81
页数:7
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