Management of severe hyperkalemia
@article{Weisberg2008ManagementOS, title={Management of severe hyperkalemia}, author={Lawrence S. Weisberg}, journal={Critical Care Medicine}, year={2008}, volume={36}, pages={3246-3251} }
Background and Objectives:Hyperkalemia is one of the few potentially lethal electrolyte disturbances. Prompt recognition and expeditious treatment of severe hyperkalemia are expected to save lives. This review is intended to provide intensivists and other interested clinicians with an understanding of the pathophysiology that underlies hyperkalemia, and a rational approach to its management. Methods:This article reviews and analyzes literature relevant to the pathophysiology and management of…
178 Citations
Acute Management of Hyperkalemia
- MedicineCurrent Heart Failure Reports
- 2019
High-quality evidence demonstrating efficacy is lacking for many medications, though novel oral potassium-binding agents show promise, and more research is necessary to establish optimal dosing strategies to manage hyperkalemia in the acute setting.
Advances in diagnosis and management of hypokalemic and hyperkalemic emergencies.
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- 2012
The etiology, differential diagnosis, and diagnostic studies for detecting hypokalemia and hyperkalemia, including managing laboratory errors that lead to factitious potassium findings are discussed, with recommendations on criteria for disposition.
The emergency physician and the prompt management of severe hyperkalemia
- MedicineInternal and Emergency Medicine
- 2012
A case is reported that gives an opportunity to discuss the importance of a faster approach to hyperkalemia, a potentially lethal electrolyte disturbance because of threatening dysrhythmias that can occur at any moment.
Management of Hyperkalemia: An Update for the Internist.
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A physiologic-based approach to the treatment of acute hyperkalemia.
- MedicineAmerican journal of kidney diseases : the official journal of the National Kidney Foundation
- 2010
The present case highlights key physiologic mechanisms in the development of hyperkalemia and provides an outline for emergent treatment, and discusses specific mechanisms of action of available treatments of hyperKalemia.
Treatment and pathogenesis of acute hyperkalemia
- Medicine, BiologyJournal of community hospital internal medicine perspectives
- 2011
This article focuses on the pathogenesis, clinical manifestations, and various treatment modalities for acute hyperkalemia and presents a systematic approach to selecting a treatment strategy.…
Controversies in Management of Hyperkalemia.
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- 2018
Hyperkalemia management in the emergency department: An expert panel consensus
- MedicineJournal of the American College of Emergency Physicians open
- 2021
Information on available therapies for hyperkalemia is summarized and a hyperKalemia treatment algorithm for the ED practitioner is proposed based on the currently available literature and highlights diagnostic pitfalls and evidence gaps.
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Incidental Hyperkalemia: An Unusual and Unexpected Case of Severe Hyperkalemia in an Otherwise Stable Post-Liver Transplant Recipient
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- 2017
A 68-year-old man in stable condition was found to have a serum potassium level of 7.9 mmol/L one year after an orthotopic liver transplant, and his hyperkalemia resolved with conventional therapy and adjustment of his medications.
References
SHOWING 1-10 OF 113 REFERENCES
Hyperkalemia in Dialysis Patients
- Medicine, BiologySeminars in dialysis
- 2001
This article reviews extrarenal potassium homeostasis and its alteration in patients with end‐stage renal disease and pays particular attention to the factors that influence the movement of potassium across cell membranes.
Hyperkalemia: a potential silent killer.
- MedicineJournal of the American Society of Nephrology : JASN
- 1998
Clinical management requires exclusion of pseudohyperkalemia, assessment of the urgency for treatment, and institution of appropriate therapy, and long-term treatment requires identification of the etiology and prevention of recurrence.
Disorders of potassium homeostasis. Hypokalemia and hyperkalemia.
- MedicineCritical care clinics
- 2002
Studies to determine the basis for hyperkalemia in recipients of a renal transplant who are treated with cyclosporine.
- Medicine, BiologyJournal of the American Society of Nephrology : JASN
- 1992
The renal response to hyperkalemia was inappropriate because the transtubular K+ concentration gradient (TTKG) was only 4.3 +/- 0.4, which led to the suspicion of the possibility that their basis might be type II hypoaldosteronism.
Role of hyperkalemia in the metabolic acidosis of isolated hypoaldosteronism.
- Medicine, BiologyThe New England journal of medicine
- 1976
Correcting the hyperkalemia by potassium-sodium exchange resin alone resolved the acidosis and restored the previously diminished urinary ammonium excretion to normal, apparently interferes with urinary acidification.
Reversal of hyperkalemic cardiotoxicity with hypertonic saline.
- MedicineAmerican heart journal
- 1962
Hyperkalemia in hospitalized patients
- MedicineInternational Urology and Nephrology
- 2004
An elevated serum potassium level in ahospitalized patient may be a marker for asignificantly increased risk of death, which is due tounderlying medical problems and is not a consequence of the hyperkalemia.
Digitalis intoxication; a review and report of forty cases, with emphasis on etiology.
- MedicineA.M.A. archives of internal medicine
- 1957
The premise of this paper is to be sure that the patient has just enough digitalis, that he is neither underdigitalized nor toxic, and the need for careful follow-up of patients who are being digitalized.
Management of hyperkalemia with a cation-exchange resin.
- MedicineThe New England journal of medicine
- 1961
The use of a sulfonic polystyrene cation-exchange resin in the sodium cycle∥ for the control of hyperpotassemia in both acute and chronic renal disease is described.
Hyperkalaemia in patients in hospital.
- Medicine
- 1989
A survey of all laboratory blood specimens with a plasma potassium concentration greater than or equal to 5.5 mmol/L was conducted over a three month period, finding that hyperkalaemia must always be considered seriously and regard given to the overall clinical status of the patient.