K+ bolus?
Hi All....
I was just wondering if anyone has ever bolused K+? I had pt a few weeks ago that I was getting ready for a c-sec.....not a real emergent one (baby was breech). After recieving pre-op labs back.....her K+ was found to be 2.4.... this was rechecked by lab 3x. The md ordered......40meq K+, with 10cc of 1% lidocaine in a 250cc bag of LR to be bolused. Then to recheck K+ after bolus. Nothing else......no EKG or anything. Pt was fine too.....
Well I'm a fairly new RN......and I remember being told in school to never bolus K+. Another rule I read was not to give more than 10meq in an hr.
Needless to say I didn't bolus it......Of course the md was ticked.....
What do you guys think ?
RN,@yourcervix.....