Effects of Highly Concentrated Potassium Chloride via Central Venous Catheterization on Severe Hypokalemia

Wei Wei; Li Yan; Zhang Ying; Wang YunXi; Zhang Su; Yang Cong

Volume 37 Issue 11

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Wei Wei , Li Yan , Zhang Ying , Wang YunXi , Zhang Su , Yang Cong . Effects of Highly Concentrated Potassium Chloride via Central Venous Catheterization on Severe Hypokalemia[J]. Journal of Kunming Medical University, 2016, 37(11): 113-115.

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Effects of Highly Concentrated Potassium Chloride via Central Venous Catheterization on Severe Hypokalemia

Received Date: 2016-06-13

Abstract

Abstract

Objective To investigate the clinical effects and feasibility of highly concentrated Potassium Chloride via central venous catheterization by micro pump on severe hypokalemia patients in EICU. Methods A totlal of 120 severe hypokalemia patients in our department were randomly divided into experimental group(treated with highly concentrated Potassium Chloride) and control group(normal treatment group) respectively, and treated with Potassium Chloride liquid of different concentration. Potassium levels in blood were checked every hour and the time for reaching standard potassium level(4.0mmol/L) and the total volumes of infusion fluid within 24 hours in the two groups was compared. Results The mean time for reaching standard potassium level and the total volumes of infusion fluid within 24 hours in the experimental group,(12.83±3.57) h and(402.56±54.61) ml respectively, were significantly less than those in the control group(P <0.01),(23.18 ±4.98) h and(2875.2 ±206.26) ml respectively. Conclusion Highly-concentrated potassium chloride injection via central venous catheterization by micro-pump is a safe, effective and feasible treatment on the patients with severe hypokalemia, especially on the patients with volume-overloaded heart and severe hypokalemia, which is worthy of further clinical research.
- Severe hypokalemia,
- Central venous micro pump,
- Highly concentrated potassium chloride

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[1]吴在德主编.外科学[M].第5版.北京:人民卫生出版社,2002:24-25.
[2]	[2]KRUSE J A,CARLSON R W.Rapid corection of hypokalemia using concentrated intravenous potassium chloride infusions[J].Arch Intern Med,1990,150(3):613-617.
[3]沈洪.急诊医学[M].北京:人民卫生出版社,2008:62.
[4]何清,王菁华,刘亚林,等.危重患者高浓度静脉补钾的安全性和疗效研究[J].中国危重病急救医学,2008,20(7):416.
[5]康小琴,张淑林,张鲜芳.心脏术后高浓度补钾的监护及注意事项[J].基层医学论坛,2010,14(8):765.
[6]邓爱民.重度低钾血症伴恶性室性心律失常不同补钾方案的疗效观察[J].中国医药导报,2008,5(3):154.
[7]吴帅.经中心静脉高浓度补钾治疗低钾血症疗效观察[J].基层医学论坛,2013,17(31):4108-4109.
[8] 吴肇汉.外科患者的体液失调[M].吴在德,吴肇汉.外科学.第6版.北京:人民卫生出版社,2004:22-36.
[9]吴燕.快速高浓度补钾救治ICU严重低钾血症[J].临床肺科杂志,2008,13(5):629-630.
[10]李冬纯,张军,马岚.微量泵高浓度补钾抢救低钾盎症48例[J].陕西医学杂志,2007,36(2):248-249.
[11]俞恒锡,董宗俊,宋建东.家兔经动脉补钾的研究[J].中华实验外科杂志,1994,11(4):225-227.
[12]	[12]HAMILL R J,ROBINSON L M,WEXLER H R,et al.Efficacy and safety of potassium infusion therapy in hypokalemic critically ill patients[J].Crit Care Med,1991,19(5):694-699.
[13] 应明英主编.实用危重病监测治疗学[M].北京:人民卫生出版社,2000:139.
[14]杨欣悦,樊楚明.高浓度钾盐深静脉微泵输注治疗严重低钾血症[J].内科急危重症杂志,2004,10(3):177-178.
[15]刘海峰,胡文能.ICU病人快速补钾治疗重症低钾血症18例[J].中国厂矿医学,2007,20(2):149.

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