Recommendations for the management of hyperkalemia in the emergency department
TEXT: Hyperkalemia, a common electrolyte disorder, is seen often in emergency departments. Patient outcomes are impacted by proper management, which requires consideration of both clinical and laboratory findings in relation to kidney function, hydration, the acid-base balance, and heart involvement. Delicate decisions about the timing of potassium level correction must be tailored in each case. For these reasons the Spanish Society of Emergency Medicine (SEMES), the Spanish Society of Cardiology (SEC), and the Spanish Society of Nephrology (SEN) joined forces to come to a consensus on defining the problem and recommending treatments that improve hospital emergency department management of hyperkalemia. Intravenous calcium, insulin and glucose, and salbutamol continue to be used to treat acute hyperkalemia. Either loop or thiazide diuretics can help patients if volume is not depleted, and dialysis may be necessary if there is kidney failure. Ion-exchange resins are falling into disuse because of adverse effects and poor tolerance, whereas novel gastrointestinal cation-exchange resins are gaining ground and may even be of some use in managing acute cases. It is essential to adjust treatment rather than discontinue medications that, even if they favor the development of hyperkalemia, will improve a patient's long-term prognosis. Valid alternative treatment approaches must therefore be sought for each patient group, and close follow-up is imperative.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:34 |
|---|---|
| Enthalten in: |
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias - 34(2022), 4 vom: 28. Aug., Seite 287-297 |
| Sprache: |
Englisch |
|---|
| Weiterer Titel: |
Recomendaciones para el manejo de la hiperpotasemia en urgencias |
|---|
| Beteiligte Personen: |
Álvarez-Rodríguez, Esther [VerfasserIn] |
|---|
| Anmerkungen: |
Date Completed 18.07.2022 Date Revised 07.09.2022 published: Print Citation Status MEDLINE |
|---|
| Förderinstitution / Projekttitel: |
|
|---|
| PPN (Katalog-ID): |
NLM343540894 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM343540894 | ||
| 003 | DE-627 | ||
| 005 | 20231226020706.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2022 xx |||||o 00| ||eng c | ||
| 028 | 5 | 2 | |a pubmed24n1145.xml |
| 035 | |a (DE-627)NLM343540894 | ||
| 035 | |a (NLM)35833768 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Álvarez-Rodríguez, Esther |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Recommendations for the management of hyperkalemia in the emergency department |
| 246 | 3 | 3 | |a Recomendaciones para el manejo de la hiperpotasemia en urgencias |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 18.07.2022 | ||
| 500 | |a Date Revised 07.09.2022 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a TEXT: Hyperkalemia, a common electrolyte disorder, is seen often in emergency departments. Patient outcomes are impacted by proper management, which requires consideration of both clinical and laboratory findings in relation to kidney function, hydration, the acid-base balance, and heart involvement. Delicate decisions about the timing of potassium level correction must be tailored in each case. For these reasons the Spanish Society of Emergency Medicine (SEMES), the Spanish Society of Cardiology (SEC), and the Spanish Society of Nephrology (SEN) joined forces to come to a consensus on defining the problem and recommending treatments that improve hospital emergency department management of hyperkalemia. Intravenous calcium, insulin and glucose, and salbutamol continue to be used to treat acute hyperkalemia. Either loop or thiazide diuretics can help patients if volume is not depleted, and dialysis may be necessary if there is kidney failure. Ion-exchange resins are falling into disuse because of adverse effects and poor tolerance, whereas novel gastrointestinal cation-exchange resins are gaining ground and may even be of some use in managing acute cases. It is essential to adjust treatment rather than discontinue medications that, even if they favor the development of hyperkalemia, will improve a patient's long-term prognosis. Valid alternative treatment approaches must therefore be sought for each patient group, and close follow-up is imperative | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Elevated potassium concentration. | |
| 650 | 4 | |a Emergency department. | |
| 650 | 4 | |a Heart failure. | |
| 650 | 4 | |a Hiperkalemia. | |
| 650 | 4 | |a Hiperpotasemia. | |
| 650 | 4 | |a Hyperkalemia. | |
| 650 | 4 | |a Insuficiencia renal. | |
| 650 | 4 | |a Isuficiencia cardiaca. | |
| 650 | 4 | |a Renal insufficiency. | |
| 650 | 4 | |a Servicio de Urgencias. | |
| 650 | 7 | |a Insulin |2 NLM | |
| 700 | 1 | |a Olaizola Mendibil, Alberto |e verfasserin |4 aut | |
| 700 | 1 | |a San Martín Díez, María de Los Ángeles |e verfasserin |4 aut | |
| 700 | 1 | |a Burzako Sánchez, Ainhoa |e verfasserin |4 aut | |
| 700 | 1 | |a Esteban-Fernández, Alberto |e verfasserin |4 aut | |
| 700 | 1 | |a Sánchez Álvarez, Emilio |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias |d 1998 |g 34(2022), 4 vom: 28. Aug., Seite 287-297 |w (DE-627)NLM09743793X |x 2386-5857 |7 nnns |
| 773 | 1 | 8 | |g volume:34 |g year:2022 |g number:4 |g day:28 |g month:08 |g pages:287-297 |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 34 |j 2022 |e 4 |b 28 |c 08 |h 287-297 | ||