Hyperkalaemia - Insulin with dextrose

[Narasimha Rao]

May I ask what concentration dextrose do you use in your unit (and the insulin dose) in managing hyperkalaemia, please?

 

Is it a set concentration glucose or do you aim for 8-16mg/kg/min of glucose delivery?

 

 

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[bimalc]

On 9/3/2020 at 4:29 PM, Narasimha Rao said:

 

May I ask what concentration dextrose do you use in your unit (and the insulin dose) in managing hyperkalaemia, please?

 

Is it a set concentration glucose or do you aim for 8-16mg/kg/min of glucose delivery?

 

 

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At my new institution, we have fixed ratio "K-cocktail" available during codes with (I believe) Insulin, glucose, calcium and bicarbonate.  I can get the exact concentrations/doses on Monday when I am back in the unit if you'd like.

[Narasimha Rao]

At my new institution, we have fixed ratio "K-cocktail" available during codes with (I believe) Insulin, glucose, calcium and bicarbonate.  I can get the exact concentrations/doses on Monday when I am back in the unit if you'd like.

Yes please. The dose and concentration of dextrose with dose of insulin would be helpful.
Thank you


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[Tamimi]

We use a D20 solution with the insulin. I don’t remember the concentration off the of my head