h*****i 发帖数: 40 | 1 为什么potassium高时, 给病人glucose 和insulin, 而不是kayexalate, 这个药不
是antipotassium吗, 总是confuse这个问题。 请高手指点一下,什么时候用glucose
和insulin, 什么时候给kayexalate。
先谢谢! | s*******y 发帖数: 1739 | 2 glucose 和insulin可以使K 进入细胞内,从而降低血K,kayexalate 是通过Na-K通道,我
的理解是两个办法都可,如果病人NPO或没有TUBING FEEDING的话,就不能用kayexalate,
因为它是肠道吸收 | r*r 发帖数: 67 | 3 Insulin and glucose combination works much faster and more efficient than
Kayexalate, remember BIGK, Sodium Bicarb, insulin/glucose, and Kay( we dont
use much in ICU )
glucose
【在 h*****i 的大作中提到】![](/moin_static193/solenoid/img/up.png) : 为什么potassium高时, 给病人glucose 和insulin, 而不是kayexalate, 这个药不 : 是antipotassium吗, 总是confuse这个问题。 请高手指点一下,什么时候用glucose : 和insulin, 什么时候给kayexalate。 : 先谢谢!
| N******m 发帖数: 17 | 4 Kayexalate permanent removes potassium, since potassium is removed with BM.
However, insulin plus glucose just shifts potassium from blood stream into
cells.The potassium still in the system. | r*r 发帖数: 67 | 5 Body cell will adjust itself as long as bld level of K is not critically
high to cause arrythmias, plus sodium bicarb will exchange it out, easier to
monitor the level.
as far as I know, Kay is not the first line drug for high K ...just my
opinion.. |
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