"In the face of the shortage and possible discontinuation of crystalline insulin vials, what is the most favorable alternative for preparing dextrose–insulin solutions for the management of hyperkalemic patients? In which regimen are they recommended?"
Centro de Información de Medicamentos de la Universidad Nacional; Ilvar, Muñoz - Ramirez; Vaca González, Claudia Patricia; Ballesteros Herrera, David; Barrero Salinas, Santiago Andrés; Rosas Alfonso, Daniel José;
"In the face of the shortage and possible discontinuation of crystalline insulin vials, what is the most favorable alternative for preparing dextrose–insulin solutions for the management of hyperkalemic patients? In which regimen are they recommended?"
According to the available scientific evidence, the best alternative to the use of crystalline insulin in the treatment of hypercalcemia is the ultra–short-acting insulin lispro; since it provides the greatest amount of information regarding its efficacy (which shows no significant differences compared to crystalline insulin), its safety profile has been studied, and it is considered safer for patients with renal impairment.
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This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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