First-Aid Treatment of Hyperkalemia by Nebulised Salbutamol: An Experience in Pseudohypoaldosteronism

Yuichiro Imai¹, Junji Takaya^1, and Kazunari Kaneko¹

¹Department of Pediatrics, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi, Osaka 570-8506, Japan

Cite this paper:
Yuichiro Imai, Junji Takaya and Kazunari Kaneko. First-Aid Treatment of Hyperkalemia by Nebulised Salbutamol: An Experience in Pseudohypoaldosteronism. American Journal of Medical Case Reports. 2015; 3(3):91-92. doi: 10.12691/ajmcr-3-3-11

Abstract

In the present case with primary pseudohypoaldosteronism, severe hypekalemia was treated with salbutamol inhalation in acute phase. Transcellular hypokalemic effect of salbutamol is related to the activation of Na-K pump on the cell membrane. Although use of salbutamol inhalation in hyperkalemia was previously described, it has not been widely used. The administration of salbutamol by inhalation is a simple, safe and reasonably effective method for treatment of hyperkalemia even in children.

Keywords:
hyperkalemia pseudohypoaldosteronism treatment

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