What is the emergency treatment for hyperkalemia?

What is hyperkalemia? I believe many people will have this question. As the name suggests, hyperkalemia is a disease caused by the disorder of potassium ions in the human body. The increase or decrease of potassium ions will cause harm to the human body. Hyperkalemia can be divided into two types, one is chronic hyperkalemia and the other is acute. When acute hyperkalemia is found, it should be treated in time, otherwise it will cause cardiac arrest and endanger life.

Friends who suffer from hyperkalemia must consume less potassium foods in daily life, and it is best not to eat potassium foods. In addition, they should stop taking drugs that induce increased blood potassium, and have timely physical examinations to ensure early detection and early treatment. Don't lose your life due to momentary negligence.

The main threat of hyperkalemia to the body is cardiac inhibition. The principle of treatment is to protect the heart and quickly lower blood potassium. Emergency treatment is required when RF patients have blood potassium > 6--6.5mmol/L, ECG shows signs of hyperkalemia, slow heart rate, limb weakness, paresthesia, numbness, etc.

Emergency treatment :

1. First, use 10% calcium gluconate 20ml + 10% GS20--40ml slowly. The effect is seen in 10 minutes and can last for 1 hour.

2. Follow with rapid intravenous drip of 100-200 ml of 5% sodium bicarbonate. (Note that calcium should be supplemented first, and then acid should be corrected, NaHCO3 and Ca2+ do not meet). The effect is seen in 5 minutes and can last for 2 hours.

3. Then 50% GS 50ml + 10% GS 100ml + RI 8--10u (give 1u RI intravenous drip for every 4g GS). It takes effect in half an hour and lasts for 4 hours.

4. Potassium removal measures:

(1) Take 30g of sodium polystyrene sulfonate exchange resin orally; take 100ml of 20% mannitol orally; or take 3.0g of rhubarb powder orally. You can also use 30g of sodium polystyrene sulfonate exchange resin + 150ml of 20% mannitol for retention enema.

(2) Furosemide 60 mg, slowly ○ v, for patients with daily urine volume > 700 ml. It is ineffective for patients with uremia and oliguria.

5. Perform hemodialysis immediately.

The above are the emergency treatment steps for hyperkalemia attacks. Friends with hyperkalemia must keep them in mind to avoid accidents. In fact, the best way to fight the disease is to exercise more, enhance your physical fitness, eat more fruits and vegetables, resist the invasion of all diseases, and be a healthy person.