Hyperkalemia Calcium polystyrene sulfonate Kalimate Sodium polystyrene sulfonate

Hyperkalemia �����

Calcium polystyrene sulfonate (Kalimate) & Sodium polystyrene sulfonate (Kayexalate) ������ ��� : �������������� ���������� � Onset : 1 – 2 hr

Side effect : Constipation, loss of appetite, nausea or vomiting ��������� �: (�������������� ) - Oral: 15 -30 g in 30 m. L of 20% sorbitol solution to be divided 2 – 3 times/day - Rectal: 50 g in 20% sorbital solution or D/W 100 ml single dose

Case : Hyperkalemia HN : 967138 ผปวยชายไทย อาย 70 ป ถกวนจฉยวาเปน renal failure ผปวยไดรบยาดงน (วนท 01/07/52) - Ca carbonate 600 mg 1 x 2 pc - Folic acid 5 mg 1 x 1 pc - Calcium polystyrene sulfonate (Kalimate) 1 x 3 pc - Sodamint 300 mg 1 x 3 pc - Vit. B 1 -B 6 -B 12 1 x 3 pc Chronic

คา Lab 01/07/52 20/05/52 K 6. 7 5. 4 3. 5 -5. 0 BUN 112 93 9 -19 Creatinine 15. 1 12. 7 0. 5 -1. 5 Na 135 135 -150 Cl 108 106 97 -108 คาปกต

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