Insulin and glucose for hyperkalemia mechanism of action
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- how are glucose and insulin used to treat hyperkalemia quizlet
- how are glucose and insulin used to treat hyperkalemia
What is the emergency treatment for hyperkalemia
Hyperkalemia treatment protocol.
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Keywords: emergency medicine, hyperkalemia, hypoglycemia, insulin, intensive care units, length of stay
Objectives:
The objectives of this study were to evaluate the safety and efficacy of insulin dosing of less than 10 units versus 10 units in patients receiving hyperkalemia treatment.
Design:
Retrospective single-center study.
Setting:
Emergency department at a large academic medical center in the United States.
Patients:
Seven hundred adults treated for hyperkalemia with IV regular insulin between April 1, 2013, and September 27, 2018.
Interventions:
Patients that received less than 10 units of insulin were compared to those that received 10 units of insulin.
Measurements and Main Results:
Patients treated with less than 10 units had significantly lower frequency of hypoglycemia (11.2% vs 17.6%; p = 0.008).
Reduction in serum potassium was significantly more modest in size in patients treated with less than 10 units (mean reduction 0.94 ± 0.71 mMol/L) compared with patients treated with 10 units (mean redu
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