What medicine does periodic paralysis take?

summary

Periodic paralysis is an autosomal dominant muscle disease with periodic flaccid paralysis, which is related to potassium metabolism disorder. Hypokalemic periodic paralysis is the most common in clinic. In addition to muscle paralysis, bradycardia, premature ventricular contractions and even tachyarrhythmia may occur if the heart is affected; Typical hypokalemia can be seen in ECG. So what medicine does periodic paralysis take? Different types of medication, the following describes the corresponding medication.

What medicine does periodic paralysis take?

First, normal blood potassium periodic paralysis; During the attack period, normal saline or 5% glucose saline can be infused intravenously, salt should be taken as far as possible, and potassium excretion and sodium retention drugs such as acetazolamide or glucocorticoid should be taken. But excessive excretion of potassium can change from this type to hypokalemic periodic paralysis, which should be paid attention to. Usually should take high salt and high sugar diet, frequent attacks can be appropriate to take row potassium sodium drugs, in order to prevent or reduce its attack.

Secondly, hypokalemic periodic paralysis; At the time of attack, adults were given potassium chloride orally or by nasal feeding. The patients with respiratory muscle paralysis should be given artificial respiration, sputum suction and oxygen in time. Patients with arrhythmia can be given 10% potassium chloride, insulin and 5% glucose by intravenous drip. But digitalis drugs are forbidden.

Finally, hyperkalemic periodic paralysis; Mild attack usually does not need treatment, more serious attack can choose: ① 10% calcium gluconate or calcium chloride 10 ~ 20ml intravenous injection. ② Add 10-20u insulin into 500ml 10% glucose solution for intravenous drip. ③ 4% sodium bicarbonate solution for intravenous drip. ④ Hydrochlorothiazide or furosemide potassium excretion therapy. During the intermission period, the intake of potassium should be controlled, mainly from the easily neglected sources of potassium, such as potassium penicillin and stored blood for more than one week. They usually eat a high salt and carbohydrate diet.

matters needing attention

People with periodic paralysis should avoid cold, fatigue, satiety, high sugar diet or alcoholism. Hyperthyroidism should be excluded from periodic paralysis. The cause of persistent hypokalemic paralysis should be examined in detail, except for chronic renal failure or adrenocortical tumor.