{"id":103393,"date":"2021-08-12T00:00:00","date_gmt":"2021-08-12T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/tang-kali-mau\/"},"modified":"2022-09-12T00:00:00","modified_gmt":"2022-09-12T00:00:00","slug":"tang-kali-mau","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/huyet-hoc\/tang-kali-mau\/","title":{"rendered":"T\u0103ng kali m\u00e1u: D\u1ea5u hi\u1ec7u, nguy\u00ean nh\u00e2n, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">T\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng khoa c\u1ea5p c\u1ee9u, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Kali l\u00e0 m\u1ed9t ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i c\u1ea7n thi\u1ebft gi\u00fap cho c\u01a1 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. Kali \u0111\u1eb7c bi\u1ebft quan tr\u1ecdng v\u1edbi h\u1ec7 th\u1ea7n kinh, c\u01a1 b\u1eafp v\u00e0 c\u1ea3 tr\u00e1i tim. Tuy nhi\u00ean, vi\u1ec7c kali trong m\u00e1u t\u0103ng qu\u00e1 cao c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho c\u01a1 th\u1ec3. H\u00e3y c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Docosan<\/strong><\/a> t\u00ecm hi\u1ec3u ngay trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"tang-kali-mau-la-gi\">T\u0103ng kali m\u00e1u l\u00e0 g\u00ec?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ed5ng l\u01b0\u1ee3ng kali trong c\u01a1 th\u1ec3 b\u00ecnh th\u01b0\u1eddng n\u1eb1m trong gi\u1edbi h\u1ea1n t\u1eeb 3,5-5,0 mmol\/l. Tr\u00e1i ng\u01b0\u1ee3c v\u1edbi natri &#8211; \u0111\u1ed3ng th\u1eddi c\u0169ng l\u00e0 m\u1ed9t ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u01a1 th\u1ec3 &#8211; ph\u1ea7n l\u1edbn n\u1eb1m ngo\u00e0i t\u1ebf b\u00e0o, kali 98% n\u1eb1m \u1edf trong t\u1ebf b\u00e0o. S\u1ef1 kh\u00e1c bi\u1ec7t trong ph\u00e2n b\u1ed1 gi\u1eefa 2 cation n\u00e0y \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh b\u1edfi<strong> b\u01a1m Na-K-ATPase<\/strong> \u1edf m\u00e0ng t\u1ebf b\u00e0o, b\u01a1m v\u1eadn chuy\u1ec3n natri ra ngo\u00e0i t\u1ebf b\u00e0o v\u00e0 \u0111\u01b0a kali v\u00e0o trong t\u1ebf b\u00e0o v\u1edbi t\u1ec9 l\u1ec7 3:2.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Th\u00f4ng th\u01b0\u1eddng, th\u1eadn gi\u1eef vai tr\u00f2 gi\u00fap c\u00e2n b\u1eb1ng kali m\u00e1u b\u1eb1ng c\u00e1ch th\u1ea3i l\u01b0\u1ee3ng kali d\u01b0 th\u1eeba ra ngo\u00e0i c\u01a1 th\u1ec3. Nh\u01b0ng v\u00ec nhi\u1ec1u l\u00fd do, m\u1ee9c \u0111\u1ed9 kali trong m\u00e1u c\u00f3 th\u1ec3 t\u0103ng qu\u00e1 cao. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>t\u0103ng kali m\u00e1u<\/strong>, \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi l\u01b0\u1ee3ng kali trong m\u00e1u l\u1edbn h\u01a1n <strong>5 mmol\/l<\/strong>. M\u1ee9c kali cao h\u01a1n 5,5 mmol\/l l\u00e0 r\u1ea5t cao v\u00e0 tr\u00ean 6 mmol\/l c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Ngo\u00e0i ra m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a t\u0103ng kali m\u00e1u c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e1c r\u1ed1i lo\u1ea1n \u0111i\u1ec7n tim \u0111i k\u00e8m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D\u00f9 b\u1ecb t\u0103ng kali m\u00e1u nh\u1eb9 hay n\u1eb7ng, ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c y t\u1ebf k\u1ecbp th\u1eddi \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u00f3 th\u1ec3 x\u1ea3y ra. \u0110\u1ec3 nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c t\u0103ng kali m\u00e1u tr\u00ean th\u1ef1c t\u1ebf, b\u1ea1n c\u1ea7n ghi ch\u00fa r\u00f5 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 \u0111\u01b0a ra h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p, k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-tang-kali-mau\">Nguy\u00ean nh\u00e2n t\u0103ng kali m\u00e1u<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0103ng kali m\u00e1u c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau g\u00e2y n\u00ean. Hi\u1ec7n nay, ng\u01b0\u1eddi ta ph\u00e2n nguy\u00ean nh\u00e2n t\u0103ng kali ra l\u00e0m<strong> 4 nh\u00f3m<\/strong> \u0111\u1ec3 d\u1ec5 x\u00e1c \u0111\u1ecbnh v\u00e0 ghi nh\u1edb.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"tang-kali-mau-do-tang-l\u01b0\u1ee3ng-kali-nh\u1eadp-vao\">T\u0103ng kali m\u00e1u do t\u0103ng l\u01b0\u1ee3ng kali nh\u1eadp v\u00e0o<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Truy\u1ec1n m\u00e1u:<\/strong> \u0110\u1eb7c bi\u1ec7t l\u00e0 truy\u1ec1n m\u1ed9t l\u01b0\u1ee3ng l\u1edbn \u0111\u01a1n v\u1ecb m\u00e1u \u0111\u01b0\u1ee3c l\u01b0u tr\u1eef l\u00e2u h\u01a1n 1 tu\u1ea7n l\u00e0m l\u1eafng \u0111\u1ecdng kali.<\/li><li><strong>Truy\u1ec1n ho\u1eb7c u\u1ed1ng kali: <\/strong>Vi\u1ec7c d\u00f9ng thu\u1ed1c c\u00f3 ch\u1ee9a kali kh\u00f4ng \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n b\u1edfi b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng kali m\u00e1u, n\u00ean th\u1eadn tr\u1ecdng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 gi\u1ea3m b\u00e0i ti\u1ebft aldosterol, b\u1ec7nh th\u1eadn c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"tang-kali-mau-do-tang-chuy\u1ec3n-t\u1eeb-trong-ra-ngoai-t\u1ebf-bao\">T\u0103ng kali m\u00e1u do t\u0103ng chuy\u1ec3n t\u1eeb trong ra ngo\u00e0i t\u1ebf b\u00e0o<\/h3>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Toan chuy\u1ec3n h\u00f3a:<\/strong> T\u00ecnh tr\u1ea1ng toan chuy\u1ec3n h\u00f3a do toan lactic ho\u1eb7c toan ceton d\u1eabn \u0111\u1ebfn kali t\u1eeb trong t\u1ebf b\u00e0o \u0111i ra ngo\u00e0i t\u1ebf b\u00e0o. Khi pH m\u00e1u gi\u1ea3m 0,1, kali m\u00e1u s\u1ebd t\u0103ng 0,5mmol\/l. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, ti\u00eau ch\u1ea3y, s\u1eed d\u1ee5ng bia r\u01b0\u1ee3u l\u00e2u ng\u00e0y, suy tim, \u0111\u1ed9ng kinh.<\/li><li><strong>Do h\u1ee7y ho\u1ea1i t\u1ebf b\u00e0o:<\/strong> B\u1ea5t k\u1ef3 nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y t\u0103ng h\u1ee7y ho\u1ea1i t\u1ebf b\u00e0o d\u1eabn \u0111\u1ebfn gi\u1ea3i ph\u00f3ng kali trong t\u1ebf b\u00e0o ra ngo\u00e0i \u0111\u1ec1u l\u00e0m t\u0103ng kali m\u00e1u nh\u01b0 ti\u00eau c\u01a1 v\u00e2n, tan m\u00e1u, b\u1ecfng, h\u1ed9i ch\u1ee9ng ly gi\u1ea3i kh\u1ed1i u, sau tia x\u1ea1.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"tang-kali-mau-do-gi\u1ea3m-bai-ti\u1ebft-kali\">T\u0103ng kali m\u00e1u do gi\u1ea3m b\u00e0i ti\u1ebft kali<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Hi\u1ec7n nay c\u00f3 ba c\u01a1 ch\u1ebf ch\u00ednh g\u00e2y gi\u1ea3m b\u00e0i ti\u1ebft kali m\u00e1u qua n\u01b0\u1edbc ti\u1ec3u: gi\u1ea3m b\u00e0i ti\u1ebft aldosterol, gi\u1ea3m \u0111\u00e1p \u1ee9ng v\u1edbi aldosterol, gi\u1ea3m ph\u00e2n b\u1ed1 natri v\u00e0 n\u01b0\u1edbc \u1edf \u1ed1ng l\u01b0\u1ee3n xa khi m\u00e0 gi\u1ea3m d\u00f2ng m\u00e1u \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch th\u1eadn. M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n sau \u0111\u00e2y \u0111\u1ec1u \u0111\u01b0\u1ee3c \u1ea3nh h\u01b0\u1edfng b\u1edfi 3 c\u01a1 ch\u1ebf tr\u00ean m\u00e0 l\u00e0m t\u0103ng kali m\u00e1u:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Suy th\u1eadn:<\/strong> suy th\u1eadn c\u1ea5p ho\u1eb7c suy th\u1eadn m\u1ea1n l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0m t\u0103ng kali m\u00e1u<\/li><li><strong>B\u1ec7nh l\u00fd \u1ed1ng th\u1eadn<\/strong><\/li><li><strong>Suy th\u01b0\u1ee3ng th\u1eadn<\/strong>.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"dung-thu\u1ed1c\">D\u00f9ng thu\u1ed1c<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m t\u0103ng kali m\u00e1u, bao g\u1ed3m<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Thu\u1ed1c l\u1ee3i ti\u1ec3u ti\u1ebft ki\u1ec7m kali bao g\u1ed3m ch\u1ea5t \u0111\u1ed1i kh\u00e1ng aldosterone (spironolactone) v\u00e0 ch\u1ea5t kh\u00f4ng \u0111\u1ed1i kh\u00e1ng aldosterone (amilorid).<\/li><li>Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angitensin (ACE).<\/li><li>Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID).<\/li><li>M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c s\u1eed d\u1ee5ng trong h\u00f3a tr\u1ecb li\u1ec7u.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-tang-kali-mau\">Tri\u1ec7u ch\u1ee9ng t\u0103ng kali m\u00e1u<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u0103ng kali ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 cation kali c\u00f3 trong m\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u00f4i khi h\u1ecd c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o. Nh\u01b0ng n\u1ebfu l\u01b0\u1ee3ng kali m\u00e1u \u0111\u1ee7 cao, m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>C\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi ho\u1eb7c suy nh\u01b0\u1ee3c.<\/li><li>C\u1ea3m gi\u00e1c t\u00ea ho\u1eb7c ng\u1ee9a ran kh\u1eafp c\u01a1 th\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c l\u00f2ng b\u00e0n tay b\u00e0n ch\u00e2n.<\/li><li>Bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n.<\/li><li>Kh\u00f3 th\u1edf.<\/li><li>\u0110au ng\u1ef1c<\/li><li>\u0110\u00e1nh tr\u1ed1ng ng\u1ef1c ho\u1eb7c nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy nhi\u00ean c\u00e1c d\u1ea5u hi\u1ec7u tr\u00ean \u0111\u00e2y kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi nhi\u1ec1u nguy\u00ean nhan kh\u00e1c. Trong tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, t\u0103ng kali m\u00e1u c\u00f3 th\u1ec3 g\u00e2y<strong> t\u00ea li\u1ec7t <\/strong>ho\u1eb7c <strong>suy tim.<\/strong> N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, n\u1ed3ng \u0111\u1ed9 kali cao c\u00f3 th\u1ec3 khi\u1ebfn tim ng\u1eebng \u0111\u1eadp d\u1eabn \u0111\u1ebfn ng\u01b0ng tu\u1ea7n ho\u00e0n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"ch\u1ea9n-doan\">Ch\u1ea9n \u0111o\u00e1n<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">X\u00e9t nghi\u1ec7m <strong>m\u00e1u<\/strong> ho\u1eb7c x\u00e9t nghi\u1ec7m <strong>n\u01b0\u1edbc ti\u1ec3u<\/strong> c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n ch\u1ee9ng t\u0103ng kali m\u00e1u khi n\u1ed3ng \u0111\u1ed9 kali trong m\u00e1u l\u1edbn h\u01a1n 5 mmol\/l. B\u00e1c s\u0129 s\u1ebd th\u01b0\u1eddng xuy\u00ean l\u00e0m x\u00e9t nghi\u1ec7m m\u00e1u trong qu\u00e1 tr\u00ecnh ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 h\u00e0ng n\u0103m ho\u1eb7c theo d\u00f5i qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb m\u1ed9t b\u1ec7nh l\u00fd kh\u00e1c, n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 n\u00e0o \u1ea3nh h\u01b0\u1edfng t\u1edbi n\u1ed3ng \u0111\u1ed9 kali m\u00e1u ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ngo\u00e0i ra, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh th\u00eam c\u00e1c <strong>x\u00e9t nghi\u1ec7m kh\u00e1c<\/strong> nh\u01b0 \u0111\u1ebfm s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u, b\u1ea1ch c\u1ea7u, kh\u1ea3o s\u00e1t t\u00ecnh tr\u1ea1ng t\u00e1n huy\u1ebft ho\u1eb7c thi\u1ebfu m\u00e1u k\u1ebft h\u1ee3p v\u1edbi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u1ec3 lo\u1ea1i tr\u1eeb t\u00ecnh tr\u1ea1ng gi\u1ea3 t\u0103ng kali m\u00e1u v\u00e0 ph\u00e2n \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh t\u1eeb \u0111\u00f3 \u0111\u01b0a ra h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/tang-kali-mau.jpg\" alt=\"tang-kali-mau\" class=\"wp-image-24110\"\/><figcaption>X\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ph\u00e1t hi\u1ec7n t\u0103ng kali m\u00e1u<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-tang-kali-mau\">\u0110i\u1ec1u tr\u1ecb t\u0103ng kali m\u00e1u<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u n\u1ed9i khoa, v\u00ec th\u1ebf th\u1ea7y thu\u1ed1c c\u1ea7n ph\u1ea3i ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m do n\u1ed3ng \u0111\u1ed9 kali m\u00e1u cao \u0111em l\u1ea1i. M\u1ed9t s\u1ed1 thu\u1ed1c v\u00e0 ph\u01b0\u01a1ng ph\u00e1p sau \u0111\u00e2y \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng t\u0103ng kali m\u00e1u:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Thu\u1ed1c t\u00e1c d\u1ee5ng tranh ch\u1ea5p v\u1edbi kali tr\u00ean c\u01a1 tim: Calciclorua ho\u1eb7c Calci gluconate ti\u00eam t\u0129nh m\u1ea1ch.<\/li><li>Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng v\u1eadn chuy\u1ec3n kali t\u1eeb ngo\u00e0i t\u1ebf b\u00e0o v\u00e0o trong t\u1ebf b\u00e0o: Insulin, natri carbonat, k\u00edch th\u00edch Beta 2 adrenergic (Albuterol).<\/li><li>Bi\u1ec7n ph\u00e1p \u0111\u00e0o th\u1ea3i kali:<ul><li>L\u1ee3i ti\u1ec3u quai (furocemid).<\/li><li>Nh\u1ef1a trao \u0111\u1ed5i cation (kayexalate).<\/li><li>L\u1ecdc m\u00e1u c\u1ea5p c\u1ee9u ng\u1eaft qu\u00e3ng (th\u1ea9m t\u00e1ch m\u00e1u hay c\u00f2n g\u1ecdi l\u00e0 th\u1eadn nh\u00e2n t\u1ea1o &#8211; IHD).<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ngo\u00e0i nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p k\u1ec3 tr\u00ean, x\u1eed l\u00fd c\u1ea5p c\u1ee9u ban \u0111\u1ea7u l\u00e0 r\u1ea5t quan tr\u1ecdng. Khi ph\u00e1t hi\u1ec7n ng\u01b0\u1eddi th\u00e2n c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u0103ng kali m\u00e1u, c\u1ea7n \u0111\u01b0a ngay t\u1edbi b\u1ec7nh vi\u1ec7n g\u1ea7n nh\u01b0 \u0111\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 ch\u0103m s\u00f3c y t\u1ebf t\u1eeb nh\u1eefng y b\u00e1c s\u0129 chuy\u1ec7n nghi\u1ec7p.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"k\u1ebft-lu\u1eadn\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i th\u01b0\u1eddng th\u1ea5y \u1edf trong b\u1ec7nh vi\u1ec7n, do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau g\u00e2y n\u00ean. Ch\u00fang ta c\u1ea7n n\u1eafm nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a ch\u1ee9ng t\u0103ng kali m\u00e1u \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u01b0a ng\u01b0\u1eddi th\u00e2n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf k\u1ecbp th\u1eddi, tr\u00e1nh \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ch\u1ee7 quan, sai s\u00f3t l\u00e0m m\u1ea5t th\u1eddi gian \u0111i\u1ec1u tr\u1ecb. <\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/em><\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\"><li><strong><a href=\"https:\/\/www.healthline.com\/health\/high-potassium-hyperkalemia#treatment\" target=\"_blank\" rel=\"noopener\">High Potassium: Causes, Symptoms, and Diagnosis (healthline.com)<\/a><\/strong><\/li><li><strong>B\u1ed9 y t\u1ebf (2015), H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c<\/strong><\/li><\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>T\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng khoa c\u1ea5p c\u1ee9u, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Kali l\u00e0 m\u1ed9t ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i c\u1ea7n thi\u1ebft gi\u00fap cho c\u01a1 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. Kali \u0111\u1eb7c bi\u1ebft quan tr\u1ecdng v\u1edbi h\u1ec7 th\u1ea7n kinh, c\u01a1 b\u1eafp v\u00e0 [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":88642,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[575],"tags":[],"class_list":["post-103393","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-huyet-hoc"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/nieng-rang-1-min-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/nieng-rang-1-min-1-600x600.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103393","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103393"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103393\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/88642"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103393"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103393"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}