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Do you administer calcium to patients with K > 6.5 without EKG changes?
Answer from: at Academic Institution
No. But our ER does as a reflex and I don't have a problem with that. It used to drive me nuts bc it sent the wrong message, as though Ca lowers [K] level (of course it does not, it just decreases cardiac effect). But you don't know how fast they are being seen, how fast they will get treated, so I ...
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Answer from: at Community Practice
It’s not necessary but I realize that the expectation from staff nurses and physicians especially in the ER is to do so. Most do it in a automated reactive fashion.
Answer from: at Community Practice
How much of that calcium combines with high phosphorus is a consideration in patients with CKD 4 and higher! Are we doing more harm by giving iv calcium gluconate?
Comments
at Jerry L Pettis VA Medical Center
An EKG can change moment to moment in hyperkalemia...
An EKG can change moment to moment in hyperkalemia...
at Pasadena Nephrology Inc
As with anything else one must look at risks versu...
As with anything else one must look at risks versu...