Calcium intraveineux

Le calcium intraveineux est recommandé pour le traitement de l’Hyperkaliémie sévère(en construction)

———

Littmann L, Gibbs MA. Electrocardiographic manifestations of severe hyperkalemia. J Electrocardiol. 2018; 51(5):814-7

Intravenous calcium should be administered immediately during the follow scenarios:

– Profound hypotension accompanied by acute QRS widening and axis shift

– Hypotension, shock, widened QRS complexes and ST elevation in leads V1 and V2 (Brugada-like Pattern)

– Acutely ill patient who presents with wide-QRS PEA

– Non-shockable pulseless wide-complex tachycardia

– Bilateral lower extremity paralysis or tetraparesis accompanied by a markedly abnormal ECG

– (Eventually) Critical illness when the ECG interpretation software double counts the heart rate

NB. On the other hand, peaking of the T waves in it usually does not warrant the use of intravenous calcium, insulin or adrenaline.