If parents find that their children are deficient in potassium, they should not take some medicine to achieve the supplement effect. In fact, this situation can be improved through diet, but overeating is not allowed. You must pay attention to gradual intake of diet. You should eat more foods high in potassium every day, such as asparagus, potatoes and other common vegetables. 1. Attack period: You can take 4-10g of potassium chloride orally at a time (0.2g/kg for children). After the condition improves, continue to take 1-2g of potassium chloride, 3-4 times/d, and stop taking it after full recovery. For patients with more serious conditions, add 30 ml of 10% potassium chloride to 1000 ml of normal saline and slowly drip it. The total amount of potassium chloride in 24 hours should not exceed 8 g. For those with breathing difficulties, give oxygen, suction sputum, and perform artificial respiration if necessary. Patients with arrhythmia were given 30 ml of 10% potassium chloride and 10 u of insulin added to 1000 ml of 5% glucose solution and slowly dripped intravenously. Digitalis drugs are prohibited because of the high risk of poisoning. 2. Intermission period: Avoid various inducements such as overeating, eating large amounts of high-sugar foods, excessive fatigue, etc. If necessary, take 10% potassium chloride 10 ml orally 3 times a day. 3. Some patients still have arrhythmia during the intervals and may often die suddenly due to ventricular tachycardia. Be vigilant and take active measures to prevent and control it. How to treat 1. Actively treat the primary disease that causes K+ deficiency and resume normal diet. 2. Supplement potassium salt: (1) When supplementing potassium, take it orally if possible; if you cannot take it orally, supplement it intravenously. (2) Intravenous potassium chloride should be supplemented. Push injection is strictly prohibited. Generally, it is added to glucose solution for dripping. The concentration should not exceed 3% and the drip rate should not exceed 80 drops per minute. The total amount dripped per 24 hours should not exceed 6g-8g. (3) When accompanied by acidosis, potassium bicarbonate can be used instead. (4) For patients with impaired liver function, potassium glutamate can be used instead. (5) When the heart is obviously affected or accompanied by magnesium deficiency, L-potassium magnesium aspartate can be used. It is often caused by long-term fasting or eating less, insufficient potassium salt intake; excessive potassium excretion due to massive vomiting, diarrhea and long-term use of diuretics such as furosemide. The clinical manifestations of the disease are mainly nerve and muscle dysfunction. The more and faster the potassium is lost or the Na+ and Ca+ concentrations increase at the same time, the more obvious the symptoms are. Hypokalemia is often mixed with the symptoms of the primary disease, which can easily delay diagnosis and should be taken seriously. When supplementing potassium intravenously, the urine volume must be above 30 ml/hour. Do not do it too quickly or in excess. Intravenous push is strictly prohibited. |
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