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dc.contributor.authorRafique, Zubaid
dc.contributor.authorPeacock, Frank
dc.contributor.authorArmstead, Terra
dc.contributor.authorBischof, Jason J
dc.contributor.authorHudson, Joanna
dc.contributor.authorWeir, Matthew R
dc.contributor.authorNeuenschwander, James
dc.date.accessioned2021-10-15T18:43:04Z
dc.date.available2021-10-15T18:43:04Z
dc.date.issued2021-10-01
dc.identifier.urihttp://hdl.handle.net/10713/16857
dc.description.abstractHyperkalemia is a common electrolyte abnormality identified in the emergency department (ED) and potentially fatal. However, there is no consensus over the potassium threshold that warrants intervention or its treatment algorithm. Commonly used medications are at best temporizing measures, and the roles of binders are unclear in the emergent setting. As the prevalence of comorbid conditions altering potassium homeostasis rises, hyperkalemia becomes more common, and hence there is a need to standardize management. A panel was assembled to synthesize the available evidence and identify gaps in knowledge in hyperkalemia treatment in the ED. The panel was composed of 7 medical practitioners, including 5 physicians, a nurse, and a clinical pharmacist with collective expertise in the areas of emergency medicine, nephrology, and hospital medicine. This panel was sponsored by the American College of Emergency Physicians with a goal to create a consensus document for managing acute hyperkalemia. The panel evaluated the evidence on calcium for myocyte stabilization and potassium shifting and excretion. This article summarizes information on available therapies for hyperkalemia and proposes a hyperkalemia treatment algorithm for the ED practitioner based on the currently available literature and highlights diagnostic pitfalls and evidence gaps.en_US
dc.description.urihttps://doi.org/10.1002/emp2.12572en_US
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofJournal of the American College of Emergency Physicians Openen_US
dc.rights© 2021 The Authors. JACEP Open published by Wiley Periodicals LLC on behalf of American College of Emergency Physicians.en_US
dc.subjectacute managementen_US
dc.subjectalgorithmen_US
dc.subjectconsensus recommendationen_US
dc.subjecthyperkalemiaen_US
dc.titleHyperkalemia management in the emergency department: An expert panel consensusen_US
dc.typeArticleen_US
dc.identifier.doi10.1002/emp2.12572
dc.identifier.pmid34632453
dc.source.volume2
dc.source.issue5
dc.source.beginpagee12572
dc.source.endpage
dc.source.countryUnited States


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