High-Dose Insulin for Hyperkalemic Cardiac Arrest

Mohammed A. Shikhooun; Loai A. Abdulhadi; Wael M. Yafes; Moataz R. Saleh; Sue Anne Corsentino; Enrique J. Pantin

doi:10.1097/MJT.0000000000001571

High-Dose Insulin for Hyperkalemic Cardiac Arrest

Mohammed A. Shikhooun, Loai A. Abdulhadi, Wael M. Yafes, Moataz R. Saleh, Sue Anne Corsentino, Enrique J. Pantin

Robert Wood Johnson Medical School (RWJMS), Anesthesiology

Research output: Contribution to journal › Article › peer-review

Abstract

Abstract:Hyperkalemic cardiac arrest diagnosis can be elusive and management difficult as the cardiac rhythm restoration is often not achieved until the potassium level decreases to a relatively normal level for the patient who suffers the arrest. Current treatment modalities can take hours to achieve this goal. We describe two patients who survived a witnessed hyperkalemic cardiac arrest after being managed with conventional advanced cardiac life support and unconventionally high doses of intravenous insulin.

Original language	English (US)
Pages (from-to)	E426-E432
Journal	American journal of therapeutics
Volume	30
Issue number	5
DOIs	https://doi.org/10.1097/MJT.0000000000001571
State	Published - Sep 26 2023

All Science Journal Classification (ASJC) codes

Pharmacology
Pharmacology (medical)

Keywords

cardiac arrest
high insulin dose in cardiac arrest
hyperkalemia
hyperkalemic cardiac arrest
hyperkalemic cardiac arrest insulin dose
iatrogenic hyperkalemia
insulin
insulin use in hyperkalemic cardiac arrest

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10.1097/MJT.0000000000001571

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abstract = "Abstract:Hyperkalemic cardiac arrest diagnosis can be elusive and management difficult as the cardiac rhythm restoration is often not achieved until the potassium level decreases to a relatively normal level for the patient who suffers the arrest. Current treatment modalities can take hours to achieve this goal. We describe two patients who survived a witnessed hyperkalemic cardiac arrest after being managed with conventional advanced cardiac life support and unconventionally high doses of intravenous insulin.",

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AU - Saleh, Moataz R.

AU - Corsentino, Sue Anne

AU - Pantin, Enrique J.

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AB - Abstract:Hyperkalemic cardiac arrest diagnosis can be elusive and management difficult as the cardiac rhythm restoration is often not achieved until the potassium level decreases to a relatively normal level for the patient who suffers the arrest. Current treatment modalities can take hours to achieve this goal. We describe two patients who survived a witnessed hyperkalemic cardiac arrest after being managed with conventional advanced cardiac life support and unconventionally high doses of intravenous insulin.

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KW - iatrogenic hyperkalemia

KW - insulin

KW - insulin use in hyperkalemic cardiac arrest

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ER -

High-Dose Insulin for Hyperkalemic Cardiac Arrest

Abstract

All Science Journal Classification (ASJC) codes

Keywords

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