{"id":8,"date":"2007-07-11T19:46:41","date_gmt":"2007-07-11T18:46:41","guid":{"rendered":"http:\/\/resource.bmj.com\/adc-archimedes\/2007\/07\/11\/what-is-the-best-treatment-for-hyperkalaemia-in-a-preterm-infant\/"},"modified":"2007-07-11T19:46:41","modified_gmt":"2007-07-11T18:46:41","slug":"what-is-the-best-treatment-for-hyperkalaemia-in-a-preterm-infant","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/adc\/2007\/07\/11\/what-is-the-best-treatment-for-hyperkalaemia-in-a-preterm-infant\/","title":{"rendered":"What is the best treatment for hyperkalaemia in a preterm infant?"},"content":{"rendered":"<p>A 720g neonate in the intensive care unit develops severe hyperkalaemia with cardiac arrhythmia. The Specialist registrar decides to give a Calcium Gluconate bolus and start an Insulin and Dextrose infusion. The new Registrar queries why Salbutamol and Ion Exchange resins were not considered as these therapies are frequently used in management of hyperkalaemia in older children and adults.<!--more--><\/p>\n<p><strong>Clinical bottom line:<\/strong><\/p>\n<ul>\n<li>Insulin and dextrose infusion should form the first      line of therapy in hyperkalaemia of the premature infant. [Grade A]<\/li>\n<li>Oral and rectal ion exchange resins should be avoided as they are ineffective and associated with significant and potentially life threatening complications. [Grade A]<\/li>\n<li>No substantial data show      the superiority of salbutamol over insulin\/dextrose for premature infants      [Grade D]<\/li>\n<li>Exchange transfusion may be used as a last resort      therapy. [Grade D]<\/li>\n<\/ul>\n<p><a href=\"http:\/\/adc.bmj.com\/cgi\/rapidpdf\/adc.2007.127266v1\/?archiblog\" title=\"Archimedes Report\">Read more<\/a><\/p>\n<p><strong>Authors:<\/strong><\/p>\n<p>Fiona Marie O\u2019 Hare, Eleanor J Molloy, Department of Paediatrics, National Maternity  Hospital, Dublin<\/p>\n<p><a href=\"http:\/\/\" title=\"Online first version when accepted?\"> Read More<\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A 720g neonate in the intensive care unit develops severe hyperkalaemia with cardiac arrhythmia. The Specialist registrar decides to give a Calcium Gluconate bolus and start an Insulin and Dextrose infusion. The new Registrar queries why Salbutamol and Ion Exchange resins were not considered as these therapies are frequently used in management of hyperkalaemia in [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/adc\/2007\/07\/11\/what-is-the-best-treatment-for-hyperkalaemia-in-a-preterm-infant\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[153,84,83,82],"tags":[],"class_list":["post-8","post","type-post","status-publish","format-standard","hentry","category-answered","category-hyperkalemia","category-nicu","category-therapy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>What is the best treatment for hyperkalaemia in a preterm infant? - ADC Online Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/adc\/2007\/07\/11\/what-is-the-best-treatment-for-hyperkalaemia-in-a-preterm-infant\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What is the best treatment for hyperkalaemia in a preterm infant? - ADC Online Blog\" \/>\n<meta property=\"og:description\" content=\"A 720g neonate in the intensive care unit develops severe hyperkalaemia with cardiac arrhythmia. The Specialist registrar decides to give a Calcium Gluconate bolus and start an Insulin and Dextrose infusion. 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