It includes the following:
A- Immediate correction (Emergency) of hyperkalaemia- 50 ml of I.V. 50% glucose+20 units
soluble insulin every 30 min. - B−adrenergic agonists
(e.g. salbutamol) - Correct acidosis with I.V.
NaHCO 3 8.4%(25−100ml)
⎫
⎬
⎪
⎪
⎪ ⎪
⎭
⎪
⎪
⎪
⎪
Shift K+ into cells- Caclium gluconate slow I.V.
(5ml of 10% solution) }
Physiologic anatagonist
of K+ on cardiac
cell membrane(^)
B- Increase renal excretion of K+
Diuresis with saline and furosemide
C- Potassium exchange resin
- Sodium phase e.g. Resonium A, kayexalate
- Calcium phase e.g. sorbosterit
- 25-100 g orally or by enema.
- They will increase faecal K+.
D- Dialysis:
Preferably K+ low Dialysate haemodialysis for patients with renal
failure.