Do all dialysis units have routine orders for changing the dialysate prescription?
What determines a change in K+. For example, at what level (K+) is the dialysate changed from 2 to 3, or 3 to 2. Thanks, like to hear what other units are doing and if there are community standards Tx.
At our unit we have standing orders: K+<4 =4k, K+<5=3K, K+<6=2k, K+>6=1k w/a stat re-check the next tx, MD, and dietician are notified. We only move up or down one bath; for example, k+ of 3 goes to 5.4 they are only moved to a 3k instead of a 2k bath. I would probably re-check k+ in a week or two. Our dieticians work with the pts very closely and for the most part they don't fluctuate that much. We check labs at least once a month.
Last edit by KAT1994 on Oct 2, '05
: Reason: additional comment