need perspective- rapid administration of potassium - page 2

I am an experienced nurse and need feedback on a med error I caught. I received a patient who had a potassium level of 2.3, in checking the pump settings during handoff, I saw that the... Read More

  1. Visit  SoldierNurse22 profile page
    Our policy is K at 10mEq per hour MAX. I've given up to 60 mEqs IV before over 6 hours, but we absolutely do not go over 10mEq/hr. And I work a hem/onc unit. We have central lines everywhere!
    dudette10 likes this.
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  3. Visit  turnforthenurseRN profile page
    That is way too fast. Potassium should be given at a MAX of 10mEq/hr through a peripheral line and 20mEq/hr through a central line. PO administration is actually the best way to give potassium, unless of course that route is contraindicated.
  4. Visit  VICEDRN profile page
    Check the administration guidelines in your facility and talk with the pharmacist. I would seriously doubt that that is an acceptable choice for admin rate! I would also take what you learned and educate your peer, either using the unit educator or manager as an intermediary or individually as the situation calls for.
  5. Visit  VegRN profile page
    The nurse that gave me report was there when I caught the error, it was a mistake, she felt awful about it.
  6. Visit  edmia profile page
    Quote from VegRN
    The nurse that gave me report was there when I caught the error, it was a mistake, she felt awful about it.
    Do your pumps have a drug library? This high rate would have been caught by the pump if you guys had access to smart ones with programmed drugs. For example, when I give K, I find potassium in my drug library and select the concentration I'm hanging. I can adjust the mEq/hr rate of the infusion, but the pump will alarm "high rate" and ask me to override in order to run. So, if I make a mistake while hitting the buttons, I have a safety mechanism in place.

    Since this was an actual med error, I'm sure you filled out an incident report. When your facility gets enough of these, they will finally invest in smart pumps.

    Sent from my iPhone using

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