
How is hyperkalemia (high potassium) managed or treated? Treatment varies depending on the potassium level. Options include: Diuretics: Also called water pills, these drugs make you pee more often. Your body gets rid of potassium mainly in urine. Intravenous (IV) therapy: Extremely high potassium levels need immediate treatment. You’ll receive an IV infusion of calcium to protect your heart. Next, you get an infusion of insulin that helps move potassium into the blood cells. You may also inhale an asthma medication called albuterol to further lower potassium levels. Medication management: Many people see improvement after stopping or changing certain blood pressure medications or other drugs that raise potassium levels. Your healthcare provider can determine what medication changes to make. Potassium binders: A daily medication binds to excess potassium in the intestines. You pass the potassium when you poop. Your provider may recommend binders if other treatments don’t lower potassium levels. Potassium binders come in oral and enema form. Dialysis: If potassium levels remain high, or you experience kidney failure, you may need dialysis. This treatment helps your kidneys remove excess potassium from blood.