ما هو العلاج الطارئ لفرط بوتاسيوم الدم من المعتدل إلى الشديد؟

We recommend that an equivalent dose (6.8 mmol) of IV calcium is given to patients with hyperkalaemia in the presence of ECG changes at a dose and rate of 30ml 10% Calcium Gluconate over 10 minutes OR 10ml 10% Calcium Chloride over 5 minutes guided by the clinical setting.

We recommend that IV Calcium Chloride is the preferred calcium salt in resuscitation (cardiac arrest or peri-arrest) and IV Calcium Gluconate should be used for all other patients in the presence of ECG signs of hyperkalaemia.

The aim of treatment is to achieve rapid control with a serum K+ < 6.0 mmol/L within 2 hours of initiation of treatment.