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    This document summarizes various agents that can be used to treat hyperkalemia in an emergency department setting. It lists the agent, dose, onset time, duration of effect, and potential complications for membrane stabilization agents like calcium gluconate and sodium chloride, redistribution agents like insulin and albuterol, and elimination agents such as loop diuretics, sodium bicarbonate, sodium polystyrene sulfonate, and hemodialysis.

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    This document summarizes various agents that can be used to treat hyperkalemia in an emergency department setting. It lists the agent, dose, onset time, duration of effect, and potential complications for membrane stabilization agents like calcium gluconate and sodium chloride, redistribution agents like insulin and albuterol, and elimination agents such as loop diuretics, sodium bicarbonate, sodium polystyrene sulfonate, and hemodialysis.

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    © All Rights Reserved
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    5 views2 pages

    Hyperkalemia

    Uploaded by

    ram7676
    This document summarizes various agents that can be used to treat hyperkalemia in an emergency department setting. It lists the agent, dose, onset time, duration of effect, and potential complications for membrane stabilization agents like calcium gluconate and sodium chloride, redistribution agents like insulin and albuterol, and elimination agents such as loop diuretics, sodium bicarbonate, sodium polystyrene sulfonate, and hemodialysis.

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    of 2

    Mx.

    Of Hyperkalemia in Emergency Department:--

    Dr.Animesh Gupta & Dr.Ram Narayan


    Agent Dose Onset Duration Complications
    Membrane
    Stabilization
    Calcium 10 mL IV over Immediate 30-60 min Hypercalcemia
    gluconate (10%) 10 min
    Hypertonic 50 mL IV push Immediate Unknown Volume
    (3%) sodium overload
    chloride
    Hypertonicity
    Redistribution
    Insulin (short 10 units IV 20 min 4-6 hr Hypoglycemia
    acting) push, with
    25-40 g
    dextrose (50%
    solution)
    Albuterol 20 mg in 4 mL 30 min 2 hr Tachycardia
    normal saline
    solution,
    nebulized over
    10 min
    Inconsistent
    response
    Elimination
    Loop diuretics
    Furosemide 40-80 mg IV 15 min 2-3 hr Volume
    depletion
    Bumetanide 2-4 mg IV
    Sodium 150 mmol/L IV One Hr According to Metabolic
    bicarbonate at variable rate Duration of alkalosis
    infusion
    Volume
    overload
    Sodium 15-30 g in 15-30>2 hr 4-6 hr Variable effect
    polystyrene mL (70%
    sulfonate (SPS, sorbitol orally)
    Kayexalate,
    Kionex)
    Intestinal
    necrosis
    Hemodialysis Immediate 3 hr Arrhythmias

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