Dra. Kelly B. Ortiz Residente I Medicina Interna.

Presentación del tema: "Dra. Kelly B. Ortiz Residente I Medicina Interna."— Transcripción de la presentación:

1 Dra. Kelly B. Ortiz Residente I Medicina Interna

2 Potasio sérico menor de 3.5. CLASIFICACIONK SERICO%PERDIDA LEVE3.5 – 3 mEq/L 5% MODERADA3.0-2.5 mEq/L10% SEVERA< 2.5 mEq/L15% FLUID AND ELECTROLYTE ABNORMALITIES. Critical Care Clinics - Volume 17, Issue 3 (July 2001)Critical Care ClinicsVolume 17, Issue 3 Disorders of potassium homeostasis Hypokalemia and hyperkalemia. Crit Care Clin 18 (2002) 273– 288

3 FLUID AND ELECTROLYTE ABNORMALITIES. Critical Care Clinics - Volume 17, Issue 3 (July 2001)Critical Care ClinicsVolume 17, Issue 3 Disorders of potassium homeostasis Hypokalemia and hyperkalemia. Crit Care Clin 18 (2002) 273– 288

4 FLUID AND ELECTROLYTE ABNORMALITIES. Critical Care Clinics - Volume 17, Issue 3 (July 2001)Critical Care ClinicsVolume 17, Issue 3 Disorders of potassium homeostasis Hypokalemia and hyperkalemia. Crit Care Clin 18 (2002) 273– 288

5 FLUID AND ELECTROLYTE ABNORMALITIES. Critical Care Clinics - Volume 17, Issue 3 (July 2001)Critical Care ClinicsVolume 17, Issue 3 Disorders of potassium homeostasis Hypokalemia and hyperkalemia. Crit Care Clin 18 (2002) 273– 288

6  No mas de 4 mEq/ hora por periferica  No mas de 20 mEq/litro: velocidad de infusion  No mas de 200 a 250 mEq dia.  Por via central no mas de 40 mEq hora.  Control de potasio a las 6 horas.

7 INFUSIONES CONTINUAS DE GRAN VOLUMEN INFUSIONES INTERMITENTES POCO VOLUMEN REPOSICION DE POTASIO VIA PERIFERICAVIA CENTRAL CONCENTRACIONmEq/hmEq/dia 40mEq/L (60)10 mEq/h ( 20) 150 CONCENTRACI ON mEq/hmEq/d ia 100 mEq/L20 mEq/h ( 40) 300 CONCENTRACI ON mEq/hmEq/d ia 20mEq + 100 ml / 40 mEq + 100 ml, 20 mEq/h ( 40) 60 mEq/3 hs. VIA CENTRAL PROTOCOLO DE REPOSICION DE K- HUN

8 GRACIAS