Treatment of hyperkalemic emergencies

• 作者: Yao Wu Yang-yang Fu Hua-dong Zhu Jun Xu Joseph Harold Walline
• 来源期刊: 世界急诊医学杂志（英文版）
• 年，卷（期）: 2022,（3）
• 所属期刊栏目: Viewpoint
• 页码范围: 232-236
• 页数: 5页
• 语种: 中文
• DOI: 10.5847/wjem.j.1920-8642.2022.054

摘要

Hyperkalemic emergency(HE)refers to life-threatening hyperkalemia consisting of a high serum potassium level with severe complications(e.g.,dysrhythmias,cardiac arrest,or myopathy).[1]Hyperkalemic emergencies(HEs)are commonly encountered(2％-3％)in the emergency department(ED).[2,3]In-hospital mortality rate for hospitalized hyperkalemic patients is about 14.1％and 4.5 times higher than that of those with normal potassium.[4]Quick recognition and treatment are critical for decreasing morbidity and mortality.[5]Nevertheless,great variety and sparse evidence lie in current HE treatment.In this article,we will review the current medical literature on the treatment of HEs and propose a treatment flowchart for HEs(Figure 1).