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DOI: 10.1055/a-1860-3519
Anwendung von Kalzium in der Notfallmedizin
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Einleitung
Kalziumionen sind an zahlreichen biochemischen Prozessen beteiligt wie z. B. der Gerinnungskaskade, der muskulären Kontraktion und intrazellulären Signalkaskaden mit konsekutiver Sekretion unterschiedlicher Hormone [1].
In der Notfallmedizin steht die intravenöse Anwendung von Kalzium klar im Vordergrund. Die einzige in der jeweiligen Fachinformation [2] [3] der in Deutschland gängigen Präparate aufgeführte Indikation ist die (symptomatische) Hypokalziämie. Darüber hinaus sind weitere Indikationen notfallmedizinisch relevant: die schwere Hyperkaliämie mit EKG-Veränderungen, die Hypermagnesiämie, die Intoxikation mit Kalziumantagonisten, Betablockern und Flusssäure.
Publication History
Article published online:
10 October 2022
© 2022. Thieme. All rights reserved.
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