Different Ways Nurses Can Treat Hyperkalemia
Hyperkalemia or elevated serum potassium levels are a common condition ailing patients in the hospital setting. Although, these conditions are widely treated by the use of kayexelate, it’s important to know the other treatment options nurses have when working with hyperkalemic patients. In this podcast Wasim and Marium discuss the different treatment options you have as a nurse.
Kayexelate is the most common drug used for hyperkalemic patients, especially in the acute care setting. Although, this is usually the first drug of choice, it does come with it’s drawbacks.
IV Insulin can be used to help correct elevate potassium levels. The insulin works by forcing serum potassium back into the cells, thus decreasing the availability of potassium in the blood stream. The Dextrose push, is required immediately after the administration of Insulin to help control hypoglycemia.
Albuterol and other nebulizers also help reduce the amount of potassium in the blood stream. They too work by forcing potassium back into intracellular space. These can be given as regular breathing treatments.
Sodium Bicarb is usually given to patients with renal deficiencies. It too helps reduce the amount of free flowing potassium and can also help correct any acid/base imbalances.
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