e-learning | New treatments for hyperkalaemia

7th May 2020 by Dr Louise Hudman

e-learning | New treatments for hyperkalaemia

There have been two recent new guidelines from NICE on managing hyperkalaemia. The first deals with the snappily named sodium zirconium cyclosilicate. The second deals with patiromer. These are both oral drugs, binding potassium in the GI tract and, as they are not absorbed, it is then excreted.

Who can have these drugs?

Both drugs have the same recommendations. They can be used alongside the standard treatments in emergency care of patients with hyperkalaemia. More importantly for us, they can be used in outpatient care if they have persistent hyperkalaemia and:

  • have CKD stage 3b to 5 OR chronic heart failure AND
  • have K+ of at least 6 mmol/L AND
  • are not taking an optimised dose of a drug that acts on the renin-angiotensin-aldosterone system (RAAS) because of their hyperkalaemia AND
  • are not on dialysis.

Do they work?

There is no evidence that these drugs extend life, nor that they improve quality of life. However, the thinking is that if they allow people to take a higher dose of the RAAS inhibitors or to stay on them longer, that may extend life and improve quality of life.

Read more

No credit card details needed – it takes two minutes.

Join free trial

Login

Already a member? Login to view this content.

Login

"LocumDeck does everything you want it to do in an instant.

I absolutely love the facility for receiving locums' invoices and the facility for signing pension forms electronically. They are then instantly sent with an audit trail. It is fabulous!

You are notified the moment a GP locum adds availability, which is just fantastic. I spend a lot of time just chasing agencies to see if they have availability, so to be notified the moment availability is advertised is a new concept, and very welcome.

I have no hesitation in recommending LocumDeck – it has already eased my workload."

Sue, practice manager, Portsmouth

See the full list of features within our NASGP membership plans

Membership