General fitness, health and nutrition · Public discussion

Potassium replacement guideline

Started by Jerelyn · · Last activity · 6 posts · 706 views

This thread is locked and is currently read-only.

Thread navigation

Jump through the discussion

Go to the original post, the replies on this page, or the latest preserved contribution.

Thread details

What we know about this thread

Original section
General fitness, health and nutrition
Published
16 April 2004
Last activity
24 April 2004
Original author
Jerelyn
Posts
6
Discussion status
Public discussion
Total views
706
Views / 30 days
0

The navigation and discussion metadata provide context. Posts remain in their original chronological order.

Showing posts 1–6 of 6
Posts remain in their original chronological order.

Text size
  1. My mother-in-law, who weighs 285 lbs., recently had a
    cardiac catheterization. While she was in the day surgery
    suite, a nurse came in to the room and told us her potassium
    level was 2 and she would have to have supplemental
    potassium in the form of IVs and tablets before the
    procedure could be done. Two IVs were given with 9NS w/ 20
    mEqs at 150 cc/hr each, plus another 20 mEq in tablet form.

    My questions are: Based on the above IV rate plus the oral
    tablets, how many mEQs of potassium choride is required to
    raise serum potassium 1 mEq? Is 60 mEq likely to raise the
    level from 2. to 3? I've read several guidelines regarding
    the administration of KCl, but they don't seem to agree. The
    last one I read said 2 mEq for every .1 <4.5.

    Thanks for your replies.

    Jerelyn

  2. Jerelyn said:

    My mother-in-law, who weighs 285 lbs., recently had a
    cardiac catheterization. While she was in the day surgery
    suite, a nurse came in to the room and told us her
    potassium level was 2 and she would have to have
    supplemental potassium in the form of IVs and tablets
    before the procedure could be done. Two IVs were given
    with 9NS w/ 20 mEqs at 150 cc/hr each, plus another 20 mEq
    in tablet form.

    My questions are: Based on the above IV rate plus the oral
    tablets, how many mEQs of potassium choride is required to
    raise serum potassium 1 mEq? Is 60 mEq likely to raise the
    level from 2. to 3? I've read several guidelines regarding
    the administration of KCl, but they don't seem to agree.
    The last one I read said 2 mEq for every .1 <4.5.

    Thanks for your replies.

    Jerelyn

    Sounds like a homework question to me.

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    **
    Who is the humblest person in the universe?
    makeashorterlink.commakeashorterlink.com

    What is all this about?
    makeashorterlink.commakeashorterlink.com

    Is this spam?
    makeashorterlink.commakeashorterlink.com

  3. Keep in mind that most drugs, like this, might manifest
    their desired effect differently based on mass...giving 60
    mEq to a toddler will raise the potassium more than giving
    it to the mother in law (more mass, and therefore presumably
    more blood and serum volume).

    You do what works based on experience and what just "works"
    (empiric therapy). Give 20 (or 40) (or 60) and see what
    happens.. adjust, recheck, retreat and recheck. A level of
    TWO (as in 2.0) is enough cause to jump on aggressively in
    my opinion, which they did.

    Jerelyn said:

    My mother-in-law, who weighs 285 lbs., recently had a
    cardiac catheterization. While she was in the day surgery
    suite, a nurse came in to the room and told us her
    potassium level was 2 and she would have to have
    supplemental potassium in the form of IVs and tablets
    before the procedure could be done. Two IVs were given
    with 9NS w/ 20 mEqs at 150 cc/hr each, plus another 20 mEq
    in tablet form.

    My questions are: Based on the above IV rate plus the oral
    tablets, how many mEQs of potassium choride is required to
    raise serum potassium 1 mEq? Is 60 mEq likely to raise the
    level from 2. to 3? I've read several guidelines regarding
    the administration of KCl, but they don't seem to agree.
    The last one I read said 2 mEq for every .1 <4.5.

    Thanks for your replies.

    Jerelyn

  4. Dave S said:

    Keep in mind that most drugs, like this, might manifest
    their desired

    Potassium is not exactly a drug.

    Quoted message said:

    effect differently based on mass...giving 60 mEq to a
    toddler will raise the potassium more than giving it to
    the mother in law (more mass, and therefore presumably
    more blood and serum volume).

  5. In sci.med.nursing Matt <[email hidden]> wrote:
    : Dave S wrote:
    : > Keep in mind that most drugs, like this, might manifest
    : > their desired

    : Potassium is not exactly a drug.

    In my pharm class, we were taught that anything put into the
    body that is not a food, is a drug. Even toothpaste.

    Potassium is pretty fkn deadly stuff, too.

    Emma

  6. Emma Chase VanCott said:

    In sci.med.nursing Matt <[email hidden]>
    wrote:
    : Dave S wrote:
    : > Keep in mind that most drugs, like this, might
    : > manifest their desired

    : Potassium is not exactly a drug.

    In my pharm class, we were taught that anything put into
    the body that is not a food, is a drug. Even toothpaste.

    Potassium is pretty fkn deadly stuff, too.

    Emma

    That it is, Emma.

    Servant to the humblest person in the universe,

    Andrew

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    heartmdphd.comheartmdphd.com

    **
    Who is the humblest person in the universe?
    makeashorterlink.commakeashorterlink.com

    What is all this about?
    makeashorterlink.commakeashorterlink.com

    Is this spam?
    makeashorterlink.commakeashorterlink.com

Active in the last 60 minutes

Active in this thread

0 users · 0 guests ·0 bots ·0 total

No signed-in users are active right now.

No known search crawlers active right now.