Treatment
– Low potassium diet
– Polystyrene sulfonate (Kayexalate) 15g PO qd-qid in the short term. Alternately you can do 30-50g PR q6h.
– Lasix 10mg (low dose) short-term
– Patiromer (Veltassa) in the long run. Requires application and receiving med from the company, Relypsa. Not yet available in drug stores as of 3/2017.
For hyperkalemia in patients say on ACE / ARB for whom you don’t want to discontinue the ACE/ARB because they need it, Patiromer is a good choice long-term. In the short term, you may use Kayexalate and Lasix while you wait to get it from the company.