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Old 08-23-2012
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Default hyperkalemia without ECG changes

Hi all:

Kaptest MB 000094m says that if patient has hyperkalemia without ECG changes, we should administer insulin plus dextrose. But I have a question, for patients who have hyperkalemia but currently without ECG changes, we do not need to give calcium as some kind of prophylaxis to prevent his/her ECG changes? And after that we then give insulin with dextrose?

Thank you!
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Old 08-24-2012
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Quote:
Originally Posted by chienpolska View Post
Hi all:

Kaptest MB 000094m says that if patient has hyperkalemia without ECG changes, we should administer insulin plus dextrose. But I have a question, for patients who have hyperkalemia but currently without ECG changes, we do not need to give calcium as some kind of prophylaxis to prevent his/her ECG changes? And after that we then give insulin with dextrose?

Thank you!
Hyperkalemia without EKG changes is considered moderate hyperkalemia which's treated with insulin & glucose, kayexelate. Calcium gluconate is given for severe hyperkalemia( EKG changes) in addition to insulin & glucose
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