Standard for the management of hyperkalemia—whole-process management mode of multi- department cooperation
10.3760/cma.j.cn441217-20231110-01109
- VernacularTitle:高钾血症管理规范——多科室合作全流程管理模式
- Author:
Zhiming YE
1
;
Jianfang CAI
;
Wei CHEN
;
Hong CHENG
;
Qiang HE
;
Rongshan LI
;
Xiangmin LI
;
Xinxue LIAO
;
Zhiguo MAO
;
Huijuan MAO
;
Ning TAN
;
Gang XU
;
Hong ZHAN
;
Hao ZHANG
;
Jian ZHANG
;
Xueqing YU
Author Information
1. 广东省人民医院肾内科,广州 510030
- Keywords:
Hyperkalemia;
Intersectoral collaboration;
Organization and administration;
Management information systems;
Multi-department cooperation;
Whole- process ma
- From:
Chinese Journal of Nephrology
2024;40(3):245-254
- CountryChina
- Language:Chinese
-
Abstract:
Hyperkalemia is one of the common ion metabolism disorders in clinical practice. Hyperkalemia is defined as serum potassium higher than 5.0 mmol/L according to the guidelines at home and abroad. Acute severe hyperkalemia can cause serious consequences, such as flaccid paralysis, fatal arrhythmia, and even cardiac arrest. The use of renin-angiotensin- aldosterone system inhibitors, β-blockers and diuretics, low-sodium and high-potassium diets, and the presence of related comorbidities increase the occurrence of hyperkalemia. Hyperkalemia risk exist in all clinical departments, but there is a lack of a standardization in the management of multi- department cooperation in hospital. Therefore, a number of domestic nephrology and cardiology department experts have discussed a management model for multi-department cooperation in hyperkalemia, formulating the management standard on hospital evaluation, early warning, diagnosis and treatment, and process. This can promote each department to more effectively participate in nosocomial hyperkalemia diagnosis and treatment, as well as the long-term management of chronic hyperkalemia, improving the quality of hyperkalemia management in hospital.