{"id":790,"date":"2016-04-25T08:34:55","date_gmt":"2016-04-25T12:34:55","guid":{"rendered":"http:\/\/emeddoc.org\/?p=790"},"modified":"2018-02-26T22:06:14","modified_gmt":"2018-02-27T03:06:14","slug":"hypoglycemia-in-the-treatment-of-hyperkalemia","status":"publish","type":"post","link":"https:\/\/emeddoc.org\/?p=790","title":{"rendered":"Hypoglycemia in the Treatment of HyperKalemia"},"content":{"rendered":"<p>Hypoglycemia in the treatment of hyperkalemia in ESRD frequently happens! There ae growing in the body of literature to address this issue with different recommendations:<\/p>\n<ol>\n<li>administering 25 g of dextrose with insulin and 25 g of dextrose 1 h after insulin based on our result that hypoglycemia occurred 1\u20133 h after insulin with dextrose. <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4377748\/\">Link to article<\/a><\/li>\n<li>\n<div data-canvas-width=\"398.2923162166666\">The dextrose may be administered as 100 ml of 50% dextrose IVP or 50 ml of 50% dextrose IVPB, followed by 250 ml of<\/div>\n<div data-canvas-width=\"398.3039829999999\">D10 IVPB over 1 hour. <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/22489323\">Link to article<\/a><\/div>\n<\/li>\n<li><a href=\"http:\/\/www.ismp.org\/newsletters\/acutecare\/issues\/20180208.pdf\">ISMP Medication Safety Alert<\/a><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>Argument for Low dose vs high dose Insulin induced hypoglycemia in the management of hyperkalemia<\/p>\n<p><a href=\"http:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jhm.2545\/abstract\">Link to weight based Insulin?<\/a><\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/26416951\">Link to No difference<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Hypoglycemia in the treatment of hyperkalemia in ESRD frequently happens! There ae growing in the body of literature to address this issue with different recommendations: administering 25 g of dextrose with insulin and 25 g of dextrose 1 h after insulin based on our result that hypoglycemia occurred 1\u20133 h after insulin with dextrose. Link [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22,13,14,15,16],"tags":[],"class_list":["post-790","post","type-post","status-publish","format-standard","hentry","category-general-em","category-pgy1","category-pgy2","category-pgy3","category-pgy4"],"_links":{"self":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/790","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=790"}],"version-history":[{"count":2,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/790\/revisions"}],"predecessor-version":[{"id":887,"href":"https:\/\/emeddoc.org\/index.php?rest_route=\/wp\/v2\/posts\/790\/revisions\/887"}],"wp:attachment":[{"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=790"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=790"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/emeddoc.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=790"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}