Treatment of hyperkalaemia includes: Discontinuing foods and medication which contain potassium and any potassium sparing diuretics; intravenous administration of insulin in 10 to 25% dextrose injection (using 10 units of insulin per 20 grams of dextrose) at a rate of 300 to 500ml of solution per hour; correction of any existing acidosis with intravenous sodium bicarbonate; and utilization of exchange resins, hemodialysis, or peritoneal dialysis. Caution must be observed when treating hyperkalaemia in digitalized patients since rapid reduction of serum potassium concentrations may induce digitalis toxicity.
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