hyperkalemia emergency- treat urgently-Ca Gluconate, Dextrose, Insulin (cocktail)
Asymptomatic/no ECG changes.
categorize, Is it?
-Mild, Moderate or Severe >7 (Shirley Ooi, Medscape) >6.5 (Up To Date) Tintinnali (NA), Tan Guo Jeng (6, tapi tak dapat cari source)
If Mild to moderate – treat with potassium binder(Kalimate or resonium), remove the cause.
If Severe- treat urgently with CaGlu, Dextrose, Insulin.
So basically, treat urgently with CaGlu, Dextrose, Insulin, a.k.a Cocktail if severe(choose your level), symptomatic or ECG changes.