SOP Hyperkaliämie

Die Hyperkaliämie kann eine lebensbedrohliche Elektrolytstörung sein. Sie sollte in einer Notfallsituation schnell erkannt und therapiert werden, um schwerwiegende Komplikationen wie Herzrhythmusstörungen zu vermeiden. Diese SOP stellt eine sofortige Diagnostik (Point of Care Device / Blutgasanalysen) und die Therapieprinzipien Kardioprotektion und Kaliumverschiebung (Shift) mit anschließender Elimination des Kaliums vor.

Schlüsselwörter

Elektrolytstörungen - Blutgasanalyse - Notaufnahme - Kalium-Haushalt - Point-of-Care-Diagnostik

• Literatur

• 1 Lindner G, Burdmann EA, Clase CM. et al. Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference. European Journal of Emergency Medicine 2020; 27: 329-337
• 2 Moeckl T, Danckwardt H. Elektrolytstörungen in der Notaufnahme. Notaufnahme up2date 2021; 03: 351-362
• 3 Liu M, Rafique Z. Acute Management of Hyperkalemia. Curr Heart Fail Rep 2019; 16: 67-74
• 4 Boddy K, King PC, Hume R. et al. The relation of total body potassium to height, weight, and age in normal adults. Journal of Clinical Pathology 1972; 25: 512-517
• 5 Medford-Davis L, Rafique Z. Derangements of Potassium. Emergency Medicine Clinics of North America 2014; 32: 329-347
• 6 Lemoine L, Le Bastard Q, Batard E. et al. An Evidence-Based Narrative Review of the Emergency Department Management of Acute Hyperkalemia. The Journal of Emergency Medicine 2021; 60: 599-606
• 7 Littmann L, Gibbs MA. Electrocardiographic manifestations of severe hyperkalemia. Journal of Electrocardiology 2018; 51: 814-817
• 8 Peacock WF, Rafique Z, Clark CL. et al. Real World Evidence for Treatment of Hyperkalemia in the Emergency Department (REVEAL–ED): A Multicenter, Prospective, Observational Study. The Journal of Emergency Medicine 2018; 55: 741-750
• 9 Gupta AA, Self M, Mueller M. et al. Dispelling myths and misconceptions about the treatment of acute hyperkalemia. The American Journal of Emergency Medicine 2022; 52: 85-91
• 10 Wrenn KD, Slovis CM, Slovis BS. The ability of physicians to predict hyperkalemia from the ECG. Annals of Emergency Medicine 1991; 20: 1229-1232
• 11 Moussavi K, Fitter S, Gabrielson SW. et al. Management of Hyperkalemia With Insulin and Glucose: Pearls for the Emergency Clinician. The Journal of Emergency Medicine 2019; 57: 36-42
• 12 Harel Z, Kamel KS. Optimal Dose and Method of Administration of Intravenous Insulin in the Management of Emergency Hyperkalemia: A Systematic Review. PLoS ONE 2016; 11: e0154963
• 13 Rafique Z, Peacock F, Armstead T. et al. Hyperkalemia management in the emergency department: An expert panel consensus. JACEP Open 2021; 2
• 14 Lott C, Truhlář A, Alfonzo A. et al. European Resuscitation Council Guidelines 2021: Cardiac arrest in special circumstances. Resuscitation 2021; 161: 152-219
• 15 Dépret F, Peacock WF, Liu KD. et al. Management of hyperkalemia in the acutely ill patient. Ann Intensive Care 2019; 9: 32