Why is potassium scored?Register Today!
- by RNfromMN Nov 30, '08Potassium has to be given whole, right? It can't be crushed or broken in half, I thought.
Another nurse was challenging me on this & she asked me if that's true, then why are the pills scored?
- what leslie said.
- Nov 30, '08 by RNfromMNOhhhhhhhh:smackingf
Well, in that case...seems I have quite a few patients to apologize to on Monday
Thanks you guys!
- Chalk it up as the new thing you learned today. I could tell you mine but it's OT for this thread.
- Nov 30, '08 by NurseFreshMeatAccording to www.drugs.com, K-Dur can be dissolved which makes me wonder about the no crushing rule.
Patients having difficulty swallowing whole tablets may try one of the following alternate methods of administration:
Last edit by NurseFreshMeat on Nov 30, '08 : Reason: make post easier to read
- Break the tablet in half, and take each half separately with a glass of water.
- Prepare an aqueous (water) suspension as follows:
- Place the whole tablet(s) in approximately ½ glass of water (4 fluid ounces).
- Allow approximately 2 minutes for the tablet(s) to disintegrate.
- Stir for about half a minute after the tablet(s) has disintegrated.
- Swirl the suspension and consume the entire contents of the glass immediately by drinking or by the use of a straw.
- Add another 1 fluid ounce of water, swirl, and consume immediately.
- Then, add an additional 1 fluid ounce of water, swirl, and consume immediately.
- Nov 30, '08 by pricklypearI can't even begin to remember how many times I've crushed or broken K+. I've never heard that it shouldn't be crushed. I've always ordered it in suspension form for g-tube/dobhoff administration as the crushed form is granulated. Only time released or extended release meds should not be crushed.
- Isn't K-dur extended release potassium? That's why I've never given it crushed. Most of my pts don't have swallowing issues so have never had to worry about crushing or dissolving. Haven't had to worry about it for about 6 years now.
- Nov 30, '08 by AnerooIt depends on what type you're giving- Kdur or Klor. Different absortion rates, one is dissolved, the other extended release and can't be crushed.
- Nov 30, '08 by AirforceRNI asked the pharmacist at the hospital about disolving Kdur in water. She told me that Kdur is essentially made up of many little "beads" of potassium, which dissolve over a period of time. Crushing the pills will destroy the beads rendering the long-acting properties useless. Dissolving the pill in water, however, will break the pill apart (quite readily actually) and the beads will remain intact and retain their slow dissolving properties...
So, in short, dissolve the pill in water, don't crush it.