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Hiperkalemi Tedavisinde Kalsiyum Glukonat’ın Etkisi

Year 2010, Volume: 1 Issue: 1, 41 - 43, 01.01.2010

Ahmet Tuğrul Zeytin Arif Alper Çevik Nurdan Acar Hamit Özçelik

Abstract

Giriş: Hiperkalemi hayatı tehdit edebilecek kardiyak ritm bozukluklarına
sebep olabilen ciddi ve sık karşılaşılan bir metabolik acildir. Hiperkaleminin
düzeltilmesi için çeşitli tedaviler önerilmektedir ancak intravenöz kalsiyum
tedavisinin etkinliğini gösteren yeterli araştırma bulunmamaktadır.
Olgu: Bu yazıda hiperkalemiye bağlı elektrokardiyografilerinde (EKG) p
dalgaları izlenmeyen geniş QRS kompleksleri bulunan ve intravenöz kalsiyum
glukonat infüzyon tedavisini takiben düzelen iki olgu sunulmaktadır.
Sonuç: Kalsiyum glukonat tedavisi yeterli araştırmayla desteklenememiş
olsa da ciddi hiperkalemi tedavisinde önemli ve etkin bir ajandır.

Keywords

Hiperkalemi Kalsiyum.

References

  • Mattu A, Brady WJ, Robinson DA. Electrocardiographic manifestations of hyperkalemia. Am J Emerg Med. 2000;18:721-9.
  • Weisberg LS. Management of severe hyperkalemia. Crit Care Med. 2008;36:3246-51.
  • Mahoney BA, Smith WAD, Lo D, Tsoi K, Tonelli M, Clase C. Emergency interventions for hyperkalaemia. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD003235. DOI: 10.1002/14651858.CD003235.pub2.
  • Soar J, Deakin CD, Nola JP et al. Cardiac arrest in special circumstances. Resuscitation 2005;67S1:S135-S170.
  • Webster A, Brady W, Morris F. Recognising signs of danger: ECG changes resulting from an abnormal serum potassium concentration. Emerg Med J. 2002;19:74-7.

The Effect of Calcium Gluconate in the Treatment of Hyperkalemia

Year 2010, Volume: 1 Issue: 1, 41 - 43, 01.01.2010

Ahmet Tuğrul Zeytin Arif Alper Çevik Nurdan Acar Hamit Özçelik

Abstract

Introduction: Hyperkalemia is a serious and frequent metabolic emergency which can cause life threatening cardiac rhythm abnormalities. There are several therapy options in the treatment of hyperkalemia, but there is no enough study which shows the efficacy of intravenous calcium treatment.Case: In this article, two cases which had wide QRS complexes in their ECGs and improved after intravenous calcium gluconate treatment had been reported.Summary: Although calcium gluconate treatment was not supported with enough study, it is important and effective agent in hyperkalemia treatment

Keywords

Hypercalemia Calcium

References

  • Mattu A, Brady WJ, Robinson DA. Electrocardiographic manifestations of hyperkalemia. Am J Emerg Med. 2000;18:721-9.
  • Weisberg LS. Management of severe hyperkalemia. Crit Care Med. 2008;36:3246-51.
  • Mahoney BA, Smith WAD, Lo D, Tsoi K, Tonelli M, Clase C. Emergency interventions for hyperkalaemia. Cochrane Database of Systematic Reviews 2005, Issue 2. Art. No.: CD003235. DOI: 10.1002/14651858.CD003235.pub2.
  • Soar J, Deakin CD, Nola JP et al. Cardiac arrest in special circumstances. Resuscitation 2005;67S1:S135-S170.
  • Webster A, Brady W, Morris F. Recognising signs of danger: ECG changes resulting from an abnormal serum potassium concentration. Emerg Med J. 2002;19:74-7.
There are 5 citations in total.

Details

Other ID JA35MU27ET
Journal Section Case Report
Authors

Ahmet Tuğrul Zeytin This is me

Arif Alper Çevik This is me

Nurdan Acar This is me

Hamit Özçelik This is me

Publication Date January 1, 2010
Submission Date January 1, 2010
Published in Issue Year 2010 Volume: 1 Issue: 1

Cite

APA Zeytin, A. T., Çevik, A. A., Acar, N., Özçelik, H. (2010). The Effect of Calcium Gluconate in the Treatment of Hyperkalemia. Journal of Emergency Medicine Case Reports, 1(1), 41-43.
AMA Zeytin AT, Çevik AA, Acar N, Özçelik H. The Effect of Calcium Gluconate in the Treatment of Hyperkalemia. Journal of Emergency Medicine Case Reports. January 2010;1(1):41-43.
Chicago Zeytin, Ahmet Tuğrul, Arif Alper Çevik, Nurdan Acar, and Hamit Özçelik. “The Effect of Calcium Gluconate in the Treatment of Hyperkalemia”. Journal of Emergency Medicine Case Reports 1, no. 1 (January 2010): 41-43.
EndNote Zeytin AT, Çevik AA, Acar N, Özçelik H (January 1, 2010) The Effect of Calcium Gluconate in the Treatment of Hyperkalemia. Journal of Emergency Medicine Case Reports 1 1 41–43.
IEEE A. T. Zeytin, A. A. Çevik, N. Acar, and H. Özçelik, “The Effect of Calcium Gluconate in the Treatment of Hyperkalemia”, Journal of Emergency Medicine Case Reports, vol. 1, no. 1, pp. 41–43, 2010.
ISNAD Zeytin, Ahmet Tuğrul et al. “The Effect of Calcium Gluconate in the Treatment of Hyperkalemia”. Journal of Emergency Medicine Case Reports 1/1 (January 2010), 41-43.
JAMA Zeytin AT, Çevik AA, Acar N, Özçelik H. The Effect of Calcium Gluconate in the Treatment of Hyperkalemia. Journal of Emergency Medicine Case Reports. 2010;1:41–43.
MLA Zeytin, Ahmet Tuğrul et al. “The Effect of Calcium Gluconate in the Treatment of Hyperkalemia”. Journal of Emergency Medicine Case Reports, vol. 1, no. 1, 2010, pp. 41-43.
Vancouver Zeytin AT, Çevik AA, Acar N, Özçelik H. The Effect of Calcium Gluconate in the Treatment of Hyperkalemia. Journal of Emergency Medicine Case Reports. 2010;1(1):41-3.