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    Hypokalemia Protocol

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    Brandon Nguyen
    This document outlines a hypokalemia protocol to maintain potassium levels between 3.8-5.0 mEq/liter and prevent complications of low potassium. It provides oral and IV dosage recommendations based on potassium levels, including potassium tablets or packets for levels between 3.0-4.0 mEq/liter, and potassium chloride IV infusions over 1 hour for levels below 3.0. It notes to check potassium levels again after treatment and notify the physician if magnesium is low after 24 hours with no potassium response.

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    Hypokalemia Protocol

    Uploaded by

    Brandon Nguyen
    241 views1 page
    This document outlines a hypokalemia protocol to maintain potassium levels between 3.8-5.0 mEq/liter and prevent complications of low potassium. It provides oral and IV dosage recommendations based on potassium levels, including potassium tablets or packets for levels between 3.0-4.0 mEq/liter, and potassium chloride IV infusions over 1 hour for levels below 3.0. It notes to check potassium levels again after treatment and notify the physician if magnesium is low after 24 hours with no potassium response.

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    This document outlines a hypokalemia protocol to maintain potassium levels between 3.8-5.0 mEq/liter and prevent complications of low potassium. It provides oral and IV dosage recommendations based on potassium levels, including potassium tablets or packets for levels between 3.0-4.0 mEq/liter, and potassium chloride IV infusions over 1 hour for levels below 3.0. It notes to check potassium levels again after treatment and notify the physician if magnesium is low after 24 hours with no potassium response.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    241 views1 page

    Hypokalemia Protocol

    Uploaded by

    Brandon Nguyen
    This document outlines a hypokalemia protocol to maintain potassium levels between 3.8-5.0 mEq/liter and prevent complications of low potassium. It provides oral and IV dosage recommendations based on potassium levels, including potassium tablets or packets for levels between 3.0-4.0 mEq/liter, and potassium chloride IV infusions over 1 hour for levels below 3.0. It notes to check potassium levels again after treatment and notify the physician if magnesium is low after 24 hours with no potassium response.

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    Download as PDF, TXT or read online from Scribd
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    Hypokalemia Protocol

    Original Date 07/2003 Revision Date 10/2007 Withdrawn Date

    Purpose: To maintain potassium within a safe range (3.8-5.0) and prevent the complications of
    hypokalemia. Once Potassium Level > 4.0 Serum K+ every other day.
    (Please complete check boxes for desired orders)
    Serum Potassium Level 3.0-4.0 mEq/liter (oral replacement)
    □ For K+ of 3.8 to 4.0
    Potassium 20mEq tablet po x 1 dose; serum K+ in AM
    □ For K+ of 3.5-3.7
    Potassium 20mEq tablet po x 2 doses 2 hours apart; serum K+ in AM
    □ For K+ of 3.1-3.4
    Potassium 20mEq tablet po x3 doses, 2 hours apart; serum K+ in AM

    □ Use Potassium 10mEq Capsules instead of Potassium 20mEq Tablets

    □ Use Klor-Con (Potassium 20mEq packets) Dissolve in at least 4oz cold water or juice
    and drink slowly

    Serum Potassium Level < or = 3.0 mEq/liter (IV replacement)


    Do NOT give as IV push, bolus, or IM
    (Note: If the patient is not allergic to Lidocaine and has a peripheral IV add 20 mg (2ml of 1%)
    Lidocaine HCl injection (no epinephrine), USP to the 100 ml bag (10 mEq) bag of potassium
    chloride injection.)
    □ For K+ of 2.8 to 3.0
    Give Potassium 10mEq/100ml over a minimum of 1 hour x2 doses
    (Total of 20mEq KCl IV)
    Draw serum K+ 60 minutes after end of infusion.
    Repeat appropriate orders for K+ level.
    □ For K+ of 2.5 to 2.7
    Give Potassium 10mEq/100ml over a minimum of 1 hour x4 doses
    (Total of 40mEq KCl IV)
    Draw serum K+ 60 minutes after end of last infusion
    Repeat appropriate orders for K+ level.
    □ For K+ < 2.5
    Give Potassium 10mEq/100ml over a minimum of 1 hour x6 doses
    (Total of 60mEq KCl IV)
    Draw serum K+ 60 minutes after end of last infusion.
    Repeat appropriate orders for K+ level.

    If there is no response to Potassium therapy in 24 hours, order a serum MG++ lab and
    notify the physician if level is less than 1.7mg/dL

    A warm, moist towel wrapped around the arm taking the


    Infusion will increase venous flow and decrease pain. A
    large vein is much preferred to a hand vein for infusion.
    Approved P&T 10/07

    __________________________________________ ____/____/____ _____:_____


    Physician Signature Date Time

    I:\Nursing\Pre-Printed Orders\Hypokalemia 0510.doc

    Page 1 of 1 PATIENT STICKER

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