What is the fast way to decrease or correct hyperkalemia? What is the best answer?
In Co-existing disease says " Calcium Chloride or Calcium Gluconate stabilize cellular membrane is immediate. Potassium can be driven intracellularly by the action of insulin with or without glucose and this will be effective in 10 to 20 min. Other adjuvant therapies include sodium bicarbonate and hyperventilation to promote alkalosis and the movement of potassium intracellularly. Potassium driven intracellularly will eventually move extracellularly again, usually after hours; so the therapy may need to be continued ".
In Memory Master says " Sodium Bicarbonate drives K into cells aproximately 5 min. Ca exerts its effect in 1-2 min; however, it does not correct hyperkalemia- it stabilizes mebrane excitability.