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Chinese Journal of Hygiene Rescue(Electronic Edition) ›› 2023, Vol. 09 ›› Issue (04): 193-198. doi: 10.3877/cma.j.issn.2095-9133.2023.04.001

• Expert Consensus •    

Expert consensus in accelerated treatment for patients with high-risk hypokalemia(East Lake Consensus)

Primary Medical Union of Hubei Province, Yuanzhou Zhu(), You Shang, Wei Zhu, Jie Wei, Jian Xia, Quan Gan, Fengsheng Cao, Hui Zhao, Xiaofang Cai, Yu Du, Xingguang Qu, Bing Wang, Cheng Wang, Boyi Liu, Bin Lin, Hao Sun, Maoxing Yue, Jing Ma, Zhihui Sun, Bin Wang, Yeming Wang, Chao Chang, Huan Liu   

  1. Department of Cardiology, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, China
    Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
    Department of Emergency Intensive Care, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
    Department of Emergency, Wuhan University People’s Hospital, Wuhan 430060, China
    Department of Emergency, Central South Hospital, Wuhan University, Wuhan 430062, China
    Department of Adult Intensive Medicine, Hubei Maternal and Child Health Hospital, Wuhan 430064, China
    Department of Emergency and Critical Care, Xiangyang Central Hospital, Xiangyang 441021, China
    Department of Emergency, Hubei Maternal and Child Health Hospital, Wuhan 430064, China
    Emergency Department of Wuhan Children’s Hospital, Wuhan 430015, China
    Department of Emergency and Critical Care, West China Fourth Hospital, Sichuan University, Chengdou 610041, China
    Department of Critical Care Medicine, Yichang Central People’s Hospital, Yichang 443008, China
    Department of Intensive Care, Jingzhou Central Hospital, Wuhan 434020, China
    Department of Emergency, Hainan Medical College Hospital, Haikou 570102, China
    Department of Critical Care Medicine, Taihe Hospital, Shiyan 442000, China
    Department of Emergency, the Third Affiliated Hospital to the Zhejiang University of Traditional Chinese Medicine, Hangzhou 310005, China
    Department of Emergency, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, China
    Trauma Center, Changzhou Second People’s Hospital, Nanjing Medical University, Changzhou 213161, China
    Department of Critical Care Medicine, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430077, China
    Department of International Medicine, Suzhou High tech Zone People’s Hospital, Suzhou 215129, China
    Department of Critical Care Medicine, Taikang Tongji Hospital, Wuhan 430050, China
    Department of Cardiology, First Hospital of Handan City, Handan 056002, China
    Department of Emergency, Hubei Integrated Traditional Chinese and Western Medicine Hospital, Wuhan 430010, China
  • Received:2023-06-29 Online:2023-08-18 Published:2024-01-22
  • Contact: Yuanzhou Zhu

Abstract:

High-risk hypokalemia is a clinical emergency, which needs to be actively corrected regardless of etiology. Routine potassium therapy takes 3-4 days, and malignant arrhythmia is prone to occurrence in the course of the disease, which endangers the life of the patients. This consensus classifies hyperkalemia into acute hyperkalemia, chronic hyperkalemia and acute exacerbation of chronic hyperkalemia, and adopts oral potassium supplementation as the mainstay, and glucose combined with insulin to accelerate the transfer of serum potassium into the cells to achieve the purpose of correcting high-risk hyperkalemia as soon as possible and to reduce the risk of death of the patients, and at the same time, the management of hypocalcemia during potassium supplementation, management of combined respiratory failure and cardiac arrest, rebound hyperkalemia and the characteristics of common potassium supplementation drugs are also emphasized.

Key words: Hypokalemia, Accelerated treatment

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