Dispelling myths and misconceptions about the treatment of acute hyperkalemia - 13/01/22

Doi : 10.1016/j.ajem.2021.11.030

Arnav A. Gupta, MD ^a,^{^⁎} , Michael Self, MD ^a,^b, Matthew Mueller, DO, MPH ^a,^b, Gabriel Wardi, MD, MPH ^a,^c, Christopher Tainter, MD ^a,^b
^a Department of Emergency Medicine, University of California at San Diego, 200 W. Arbor Drive, San Diego, CA 92013, USA
^b Division of Anesthesiology Critical Care Medicine, Department of Anesthesiology, University of California at San Diego, 200 W. Arbor Drive, San Diego, CA 92013, USA
^c Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Internal Medicine, University of California at San Diego, 200 W. Arbor Drive, San Diego, CA 92013, USA

^⁎Corresponding author at: Department of Emergency Medicine, University of California at San Diego, 200 W. Arbor Drive, San Diego, CA 92013, USA.Department of Emergency MedicineUniversity of California at San Diego200 W. Arbor DriveSan DiegoCA92013USA

Abstract

Hyperkalemia represents a widespread and potentially lethal condition that affects millions of people across their lives. Despite the prevalence and severity of the condition, there are no consensus guidelines on the treatment of hyperkalemia or even a standard definition. Herein, we provide a succinct review of what we believe to be the most significant misconceptions encountered in the emergency care of hyperkalemia, examine current available literature, and discuss practical points on several modalities of hyperkalemia treatment. Additionally, we review the pathophysiology of the electrocardiographic effects of hyperkalemia and how intravenous calcium preparations can antagonize these effects. We conclude each section with recommendations to aid emergency physicians in making safe and efficacious choices for the treatment of acute hyperkalemia.

Le texte complet de cet article est disponible en PDF.

Keywords : Hyperkalemia, Myths, Misconceptions, Treatment, Lactated Ringer's, Calcium, EKG

Plan

Introduction

Myth #1: Kayexalate is safe and useful

Myth #2: Lactated Ringer's is contraindicated in hyperkalemia

Hyperkalemia Myth #3: the EKG changes from hyperkalemia are predictable and reliable

Myth #4: all patients with hyperkalemia should be treated with calcium

Conclusion

Author contributions

☆	This is a review article and has not previously been presented.

Export

Vol 52

P. 85-91 - février 2022 Retour au numéro

Article précédent

Prehospital time for patients with acute cardiac complaints: A rural health disparity
Nicklaus P. Ashburn, Anna C. Snavely, Ryan M. Angi, James F. Scheidler, Remle P. Crowe, Henderson D. McGinnis, Brian C. Hiestand, Chadwick D. Miller, Simon A. Mahler, Jason P. Stopyra

| Article suivant

The association between the degree of fever as measured in the emergency department and clinical outcomes of hospitalized adult patients
Erez Marcusohn, Iftach Gibory, Asaf Miller, Ari M. Lipsky, Ami Neuberger, Danny Epstein

Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.

Déjà abonné à cette revue ?

connectez-vous ou créez un compte

Dispelling myths and misconceptions about the treatment of acute hyperkalemia - 13/01/22

Abstract

Plan

Export citations

Fichier

Contenu

Accès rapides

Mon compte

Aide & support

Plateformes Elsevier Masson

Déclaration CNIL