hyperkalemia guideline

[chbare]

You may want to consider pushing for Calcium if you truly want a fast acting, high yield therapy for hyperkalaemia. It has a very rapid onset and will quickly stabilise the membrane potential. Bicarbonate may also be an option. Beta agonists would be low on my list of front line pre-hospital interventions.

[paramatt_]

I agree 100% that calcium is the best treatment option, however, I don’t think I’ll get much love if I propose its use as the current time. We’ve just had a major overhaul of our guidelines including some additional medications, though calcium wasn’t one of them. Being realistic, I don’t see any new medication being added anytime soon, especially without any data on cost vs potential usage I really don’t know how I’d be able justify it. Maybe a clinical trial could be beneficial, but coming up with data to support that is another story.

We do carry bicarb it as an alkalising agent. The evidence I’ve come across for its use as a mono-therapy for hyper-K however isn’t flattering