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高血鉀的臨床表現？如何緊急處置？

PGY‧面試襲來

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T
TinyNotes last edited by TinyNotes
臨床表現
- 全身無力、心悸、噁心
- EKG 會出現變化：
  Peak T wave、PR變長
  QRS變寬、P wave消失
  到最後變成Sine wave、VF、心跳停止
處置簡介
- 先給Calcium gluconate ：穩定膜電位
- 讓胞外的鉀進入胞內
  RI 10U (加上D50W 2支，記得之後要recheck Glu))
  吸beta agonist (如ventolin)
  給Bicarbonate (可以看VBG決定給的支數)
- 排除鉀離子：給Kalimate、利尿劑
  (給kallimate時，要注意不能便祕喔!!)
- 如果都沒有改善→急洗腎
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class5115 last edited by

給Kalimate 要記得病人不能便秘
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T
TinyNotes @class5115 last edited by

@class5115 在高血鉀的臨床表現？如何緊急處置？裡說：

給Kalimate 要記得病人不能便秘

我補進去囉!!
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