[CVCNS50]

Hello! This is my first time to be in the active chat forum.
I am a cardiovascular clinical nurse specialist by education, and still do that,
but my base of responsibility has broadened a good bit over the years.

I am not a smooth surfer on the computer, and being new, I saw the article listed on how to manage pain at IV sites of patients receiving potassium.

I hate to admit, I can't find it!

Can anyone walk me through how to get it, or just simply mail it to me?

Thanks, CVCNS50

[talaxandra]

Hi - welcome to allnurses!
I've found a couple of articles for you:
"Patient tolerance to intravenous potassium chloride with and without lidocaine" - F Pucino, BD Danielson, JD Carlson, GL Strommen, PR Walker, CL Beck, DJ Thiege, and DS Gill
(Drug Intelligence & Clinical Pharmacy: Vol. 22, No. 9, pp. 676-679) http://www.theannals.com/cgi/content/abstract/22/9/676

Morrill GB, Katz MD "The use of lidocaine to reduce the pain induced by potassium chloride infusion" J Intraven Nurs. 1988 Mar-Apr;11(2):105-8

Rapp RP "Use of lidocaine to reduce pain associated with potassium chloride infusions" Clin Pharm. 1987 Feb;6(2):98

Lim ET, Khoo ST, Tweed WA "Efficacy of lignocaine in alleviating potassium chloride infusion pain" Anaesth Intensive Care. 1992 May;20(2):196-8

Chan, R and Armstrong D "Peripheral intravenous infusion of potassium chloride: effect of solution composition on infusion-site pain" Can J Hosp Pharm. 2004;57;27-31 (http://www.scholar.google.com/schola...travenous+pain)

I found these by going to www.scholar.google.com (a search engine that only searches through academic sites) and typing 'potassium' 'intravenous' 'pain.'

I also found an interesting article ("Safety issues with adding lidocaine to IV potassium infusions" - http://www.ismp.org/MSAarticles/Safety.htm) from the Institute of Safe Medical Practices.

Hope this helps

[CVCNS50]

Thank you so much -- I was pleasantly surprised to receive such a prompt reply! We do not do the lidocaine in the potassium bag here, but I had a family member whose brother was a doctor ask me if we could do it for her elderly mother, who had pain every time she received the K+ IV. I have tried several things listed in one of the articles over the years, and I know sometimes it may be that some individuals are more sensitive than others.

How neat that you are from Australia! I recently heard a wonderful youth speaker named Darren Whitehead, who is from there, but lives here now.

Thanks again, and perhaps I can help you sometime.

By the way, I think I know what a jumper is, but what is a brolly????

Bye now - from the deep South (Alabama)

Originally Posted by talaxandra

Hi - welcome to allnurses!
I've found a couple of articles for you:
"Patient tolerance to intravenous potassium chloride with and without lidocaine" - F Pucino, BD Danielson, JD Carlson, GL Strommen, PR Walker, CL Beck, DJ Thiege, and DS Gill
(Drug Intelligence & Clinical Pharmacy: Vol. 22, No. 9, pp. 676-679) http://www.theannals.com/cgi/content/abstract/22/9/676

Morrill GB, Katz MD "The use of lidocaine to reduce the pain induced by potassium chloride infusion" J Intraven Nurs. 1988 Mar-Apr;11(2):105-8

Rapp RP "Use of lidocaine to reduce pain associated with potassium chloride infusions" Clin Pharm. 1987 Feb;6(2):98

Lim ET, Khoo ST, Tweed WA "Efficacy of lignocaine in alleviating potassium chloride infusion pain" Anaesth Intensive Care. 1992 May;20(2):196-8

Chan, R and Armstrong D "Peripheral intravenous infusion of potassium chloride: effect of solution composition on infusion-site pain" Can J Hosp Pharm. 2004;57;27-31 (http://www.scholar.google.com/schola...travenous+pain)

I found these by going to www.scholar.google.com (a search engine that only searches through academic sites) and typing 'potassium' 'intravenous' 'pain.'

I also found an interesting article ("Safety issues with adding lidocaine to IV potassium infusions" - http://www.ismp.org/MSAarticles/Safety.htm) from the Institute of Safe Medical Practices.

Hope this helps

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[talaxandra]

That's what I love about allnurses - I once posted a clinical question and had a response in four minutes!
A brolly is an umbrella - the weather in Melbourne is notorious for changing dramatically - four seasons in one day (or in an hour sometimes!)
Glad I was able to help