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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

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My Heart is Racing! Select Cardiac Arrhythmias and Practice Updates

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martes, 3 de febrero de 2015

Kayexalate en hiperkalemia

R.E.B.E.L. EM - February 2, 2015 - By Anand Swaminathan
Background: 
"Hyperkalemia is the most common electrolyte disorder seen in the Emergency Department and treatment of hyperkalemia is core knowledge of EM training for interns and focuses on:
  1. Stabilization of cardiac myocytes with calcium salts
  2. Temporary shifting of potassium into cells (insulin, beta agonists, normal saline
    magnesium, sodium bicarbonate)
  3. Removal of potassium from the body (i.e. loop diuretics, cathartics)
  4. Definitive Treatment (i.e. Hemodyalisis)
Although there is still some debate on the first two areas (i.e. is there truly a role for sodium bicarbonate?) our focus will be on the removal part of the algorithm, specifically, is there a role for kayexalate?"
http://rebelem.com/kayexalate-useful-treatment-hyperkalemia-emergency-department/