Can anyone tell me why so many ICU patients need potassium infusions going? Is the missing
potassium being used, or stored in the cells?
Thanks for any help
Apr 28, '09
Quote from Chisca
The renal patients are stealing it.
But seriously, I think it's just the nature of the critical-care patient. It's a symptom of many of the things ICU patients suffer from: vomiting, diarrhea, renal/organ failure, injury, surgery, other electrolyte imbalances, hyper/hypo glycemia, respiratory failure. It's not hiding, it's just not there.
Last edit by pricklypear on Apr 28, '09
Apr 30, '09
Quote from ghillbert
Not to mention, we love using diuretics in ICU.
Here's my question.......
In my facility we are constantly hanging k+ riders on our folks for replacement. It was my understanding that if the gut works, use the gut and po potassium was utilized better. Not to mention we place someone on a lasix drip, attempting to diurese then hang a huge k+rider to replace potassium. Should we not first look at using liquid po via an NG if capsule/tablet is not an option? Is it just easier for the doc to write ---Meq K+ rider? I do realize that patient's on diuretics put out much more fluids than we are putting in with a k+ rider, yet when we are limiting their total fluid input I feel as if we are chasing our tails. Just wondering how it's done elsewhere.
Last edit by stressgal on Apr 30, '09
: Reason: spelling