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1. Elimination of foods and medications containing potassium and of any agents with potassium-sparing properties. 2. Intravenous administration of 300 to 500 mL/ hr of 10% dextrose soltion containing 10-20 units of crystalline insulin per 1, 000 mL. 3. Correction of acidosis, if present, with intravenous sodium bicarbonate. Text Continues Below
4. Use of exchange resins, hemodialysis or peritoneal dialysis.
In treating hyperkalemia, it should be recalled that in patients who have been stabilized on digitalis, too rapid a lowering of the serum potassium concentration can produce digitalis toxicity. The extended release feature means that absorption and toxic effects may be delayed for hours. Consider standard measures to remove any unabsorbed drug.
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