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Hypokalemia
Potassium Balance
Potassium Excretion:
Koreksi Kalium
K : 2,6 3,5 Koreksi dengan Aspar K atau KSR 1 tab/ 6
jam.
K : 2,5 Koreksi dengan KCI injeksi, diberikan
intravena per Drip atau syringe pump.
Koreksi : (4,5 X) x 0,4 x BB = ...... mEq/L
Kecepatan koreksi : 10 mEq/jam, target K : 3,5 mEq/L.
Setengah () dari kebutuhan kalium diberikan
dalam 12 jam pertama, berikutnya sisanya dipenuhi
dalam 24 jam berikutnya.
Kebutuhan maintenance harian : 2mEq/kgBB/24jam
Pemantauan kadar K dilakukan tiap 6 jam.
Sediaan : 7, 46% KCL @ 25 ml, Komposisi K : 25
mEq/25 ml, Cl : 25 mEq/25 ml
ABC
O2 44 % (6 L) simple mask
Koreksi kalium (4,5-0,5)x50x0,4= 80 meq
Maintenance 2x50= 100 meq
Total kebutuhan kalium selama 24 jam I =
180 meq
Hyperkalemia - Basics
Less common than hypokalemia,
PSEUDOHYPERKALEMIA
Lab findings of falsely elevated serum K
due to K movement out of the cells
during or after a blood draw. Suspect in
an asymptomatic patient with no
apparent cause for K elevation
- Lysis of rbc
- Specimen deterioration (cooling, prolonged
storage)
- wbc, plt
- Drawing blood downstream from a vein into which
K is infusing
- Trauma: forcible expression of blood (milking a
heel stick)
- Exercise: fist clenching with blood draws
Hyperkalemia Clinical
presentation
Related to K role in the membrane potential of
Food
1. White Beans
5. Pumpkin
4. Dried Apricots
7. Salmon
8. Avocadoes
6. Plain Yogurt
9. Mushrooms
10. Bananas
Manajemen Hiperkalemia
K
Manajemen Hiperkalemia
K 6 mEq/L,
Manajemen Hiperkalemia
Calcium
Manajemen Hiperkalemia
Emergency Management of
Hyperkalaemia in Adults
Treatment of Hyperkalaemic
Cardiac Arrest
K
(mE
q/L)
Cl
(mE
q/L)
D1/4
S
38.5
D1/2
S
77
Aseri
ng
130
NaCl
0.9%
154
NaCl
3%
513
RL
130
109
RA
130
112
Lakta Gluk
t
osa
(mm (gr/
ol/L)
L)
38.5
p
H
mOs Aset Ca
Mg
m/L
at
(mm (mm
(mE ol/L) ol/L)
q/L)
4.
4
354
4.
4
406
109
28
154
5.
7
2.7
308
5
28
6.
6
275
68
276
1.4
27