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}
}
  • L. Weisberg
  • Published 1 December 2008
  • Medicine
  • Critical Care Medicine
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… 
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Acute Management of Hyperkalemia
TLDR
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.
TLDR
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
TLDR
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.
  • C. Kovesdy
  • Medicine, Biology
    The American journal of medicine
  • 2015
A physiologic-based approach to the treatment of acute hyperkalemia.
  • R. Shingarev, M. Allon
  • Medicine
    American journal of kidney diseases : the official journal of the National Kidney Foundation
  • 2010
TLDR
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
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.
Hyperkalemia management in the emergency department: An expert panel consensus
TLDR
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.
Emergency management of severe hyperkalemia: Guideline for best practice and opportunities for the future.
Incidental Hyperkalemia: An Unusual and Unexpected Case of Severe Hyperkalemia in an Otherwise Stable Post-Liver Transplant Recipient
TLDR
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.
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