{"id":176707,"date":"2017-09-19T00:00:00","date_gmt":"2017-09-18T22:00:00","guid":{"rendered":"https:\/\/www.bcfi.be\/valeurs-seuil-plus-prudentes-pour-la-prise-en-charge-en-urgence-de-lhyperkaliemie-adaptation-de-lintro-6-2-7-dans-le-repertoire\/"},"modified":"2026-04-02T19:10:56","modified_gmt":"2026-04-02T17:10:56","slug":"valeurs-seuil-plus-prudentes-pour-la-prise-en-charge-en-urgence-de-lhyperkaliemie-adaptation-de-lintro-6-2-7-dans-le-repertoire","status":"publish","type":"post","link":"https:\/\/h.cbip.be\/fr\/valeurs-seuil-plus-prudentes-pour-la-prise-en-charge-en-urgence-de-lhyperkaliemie-adaptation-de-lintro-6-2-7-dans-le-repertoire\/","title":{"rendered":"Valeurs seuil plus prudentes pour la prise en charge en urgence de l\u2019hyperkali\u00e9mie (adaptation de l\u2019Intro.6.2.7. dans le R\u00e9pertoire.)"},"content":{"rendered":"<p>Concernant l\u2019<strong>hyperkali\u00e9mie<\/strong> (<a href='https:\/\/www.cbip.be\/fr\/chapters\/1?frag=9990219'>Intro.6.2.7.<\/a>)&#x002C; il est \u00e9crit dans l\u2019\u00e9dition imprim\u00e9e du R\u00e9pertoire&#x002C; \u00e9dition 2017 : \u201cEn cas d\u2019hyperkali\u00e9mie s\u00e9v\u00e8re (kali\u00e9mie > 6&#x002C;5 mmol\/l)&#x002C; une surveillance cardiaque et d\u2019autres mesures s\u2019imposent\u201d. Apr\u00e8s v\u00e9rification&#x002C; il appara\u00eet que la simple mention de 6&#x002C;5 mmol\/l comme valeur seuil n\u2019est pas suffisamment prudente pour une prise en charge en urgence. En pr\u00e9sence de modifications \u00e0 l\u2019ECG&#x002C; des mesures urgentes doivent notamment d\u00e9j\u00e0 \u00eatre prises d\u00e8s que le taux s\u00e9rique de potassium d\u00e9passe 6&#x002C;0 mmol\/l. La version en ligne du R\u00e9pertoire a donc \u00e9t\u00e9 modifi\u00e9e comme suit : \u201cL\u2019hyperkali\u00e9mie s\u00e9v\u00e8re (K<sup>+<\/sup> > 6&#x002C;5 mmol\/l&#x002C; ou K<sup>+<\/sup> > 6&#x002C;0 mmol\/l avec des modifications \u00e0 l\u2019ECG) est une situation potentiellement fatale n\u00e9cessitant une prise en charge imm\u00e9diate en milieu hospitalier&#x002C; sous monitoring cardiaque.\u201d [<a href='https:\/\/www.cbip.be\/fr\/chapters\/1?frag=9990219'>voir Intro.6.2.7.<\/a>]. Cette attitude plus prudente est plus conforme au message \u00e9nonc\u00e9 dans les <a href='https:\/\/www.cbip.be\/fr\/articles\/1867?folia=1866'>Folia d\u2019avril 2010<\/a> et \u00e0 une recommandation r\u00e9cente<span class='folia-referentie-note'>1<\/span> concernant la prise en charge urgente de l\u2019hyperkali\u00e9mie s\u00e9v\u00e8re&#x002C; dans laquelle les diff\u00e9rentes mesures m\u00e9dicamenteuses actuelles en cas d\u2019hyperkali\u00e9mie (ainsi que des mesures \u00e9ventuelles pour le futur) sont discut\u00e9es.<\/p>\n<h2>Sources sp\u00e9cifiques<\/h2>\n<p><span class='folia-referentie-tekst'><span class='folia-referentie-nummer'>1<\/span> Rossignol P&#x002C; Legrand M&#x002C; Kosiborod M&#x002C; Hollenberg SM et al. Review. Emergency management of severe hyperkalemia: Guideline for best practice and opportunities for the future. Pharmacological Research 2016;113:585-91 (<a href='https:\/\/www.sciencedirect.com\/science\/article\/pii\/S104366181630723X?via%3Dihub'>https:\/\/doi.org\/10.1016\/j.phrs.2016.09.039<\/a>)<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Concernant l\u2019hyperkali\u00e9mie (Intro.6.2.7.)&#x002C; il est \u00e9crit dans l\u2019\u00e9dition imprim\u00e9e du  [&#8230;]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,175],"tags":[20213,20224],"class_list":["post-176707","post","type-post","status-publish","format-standard","hentry","category-actualites","category-2017-fr","tag-import_tags","tag-import_tags-nl"],"_links":{"self":[{"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/posts\/176707","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/comments?post=176707"}],"version-history":[{"count":1,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/posts\/176707\/revisions"}],"predecessor-version":[{"id":179283,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/posts\/176707\/revisions\/179283"}],"wp:attachment":[{"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/media?parent=176707"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/categories?post=176707"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/h.cbip.be\/fr\/wp-json\/wp\/v2\/tags?post=176707"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}