mdwannabe
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kayexelate...exchanges K for Na in GI.
insulin+gluc...drives K to cell.
Ca gluc- stabilizes charges
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| mjl1717
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1st make sure it the hyperkalemia is genuine/ so measure the plasma K.
(because of clotting)
As mdwannabe says Kayexalate is great/although "Lasix" is known in this arena.(both in non emergency situations)
In the ER consider bicarbonate and insulin and albuterol the last two alone or together
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ya they are correct....but i have a doubt....is kayexelate?is it lasix?
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| mjl1717
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Id say in the nonemergency situation choose a medication that you have read about in detail.(a med you specialize in)
"Lasix" happens to be my favorite sounding med but does have side effects
Kayexalate is probably more benign.
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| mdwannabe
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with Lasix one runs a risk of hypovolemia, although there may be some benefit to loosing extra fluid, depending on clinical situation. K-ex works in GI, but one must monitor Na, coz it increases serum sodium.
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"Life not lived for others, is not worth living" Uncle Einstein
"A life is not important, except in the impact it has on other lives" -Jackie Robinson
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ok thx friends!!!! :lol:
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