Aproximación terapéutica a los trastornos del potasio

Percy Herrera-Añazco; Andrea C. Rivas-Nieto; Domingo Chang-Davila; Juan Lluncor Vasquez

doi:10.35434/rcmhnaaa.2023.164.1924

Authors

Percy Herrera-Añazco Hospital Nacional Dos de Mayo, Lima, Perú. Universidad Privada del Norte, Trujillo, Perú
Andrea C. Rivas-Nieto Hospital Nacional Cayetano Heredia, Lima, Perú
Domingo Chang-Davila Hospital Nacional Dos de Mayo, Lima, Perú
Juan Lluncor Vasquez Hospital Nacional Dos de Mayo, Lima, Perú

DOI:

https://doi.org/10.35434/rcmhnaaa.2023.164.1924

Keywords:

Potassium, Hyperkalemia, Hypokalemia, Emergencies

Abstract

Potassium is an essential cation for multiple physiological processes and potassium disorders, also known as dyskalemias, imply an increased risk of cardiovascular and neurological complications. The present review aims to outline the main strategies for the management of patients with potassium disorders in the hospital setting. For the management of hyperkalemia, we propose that the therapeutic approach should include etiologic evaluation, evidence-based pharmacologic management, monitoring of therapeutic response, and timely decision on initiation of dialysis. For hypokalemia, we suggest initial assessment of severity, pharmacologic management, and monitoring of response to therapy. Despite the limitations of the primary evidence for the management of potassium disorders, the present recommendations emphasize practices based on the best available evidence.

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Author Biographies

Percy Herrera-Añazco, Hospital Nacional Dos de Mayo, Lima, Perú. Universidad Privada del Norte, Trujillo, Perú

1. Médico Nefrólogo

2. Magister en Docencia en Educación Superior

Andrea C. Rivas-Nieto, Hospital Nacional Cayetano Heredia, Lima, Perú

1. Médico nefrólogo

Domingo Chang-Davila, Hospital Nacional Dos de Mayo, Lima, Perú

1. Médico nefrólogo

Juan Lluncor Vasquez, Hospital Nacional Dos de Mayo, Lima, Perú

1. Médico nefrólogo

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