№ files_lp_3_process_9_25231
Year: 2015
Region / city: Global
Topic: Acute hyperkalemia treatment
Document type: Research review
Organization / institution: Not specified
Author: Not specified
Target audience: Healthcare professionals
Period of validity: Not specified
Date of approval: Not specified
Date of amendments: Not specified
Conflict of Interests: None
Clinical outcomes: Potassium levels, ECG findings
Main intervention: Intravenous calcium
Comparison: No intervention, other interventions, placebo
Setting: Adults
Background: The acute treatment of hyperkalemia was reviewed in 2015.
Assessment: Hyperkalemia is a common and life-threatening electrolyte imbalance.
Desirable effects: Moderate effect of pharmacological intervention in mitigating hyperkalemia.
Undesirable effects: Potential harm from calcium administration, especially in cardiac arrest patients.
Certainty of evidence: Low certainty, based on limited observational data.
Values: Primary outcome is ECG changes, with limited clinical relevant data.
Balance of effects: Suggests against routine calcium use in cardiac arrest (weak recommendation).
Resources required: Low cost of calcium.
Cost effectiveness: No evidence of cost-effectiveness studies.
Equity: No studies identified.
Acceptability: Calcium has been recommended in international guidelines, but the new suggestion may face resistance.
Feasibility: Feasible as a recommendation against routine use.
Context: This document reviews evidence on the use of intravenous calcium for acute hyperkalemia treatment and recommends against its routine use in patients with hyperkalemia-induced cardiac arrest.
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