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Electrolyte Replacement

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Electrolyte Replacement
ADULT ELECTROLYTE REPLACEMENT PROTOCOLS
Standing electrolyte replacement protocols are available for use in adult patients admitted to King Khaled Hospital. Najran, Saudi Arabia.
The protocols are listed below.
SPECIFIC REQUIREMENTS:
• Intravenous infusions of electrolytes must be administered with free-flow protected infusion devices (i.e. infusion pump).
• Patients must meet the following criteria prior to initiation of the Potassium, Magnesium, or
Phosphorus protocols: o SCr < 2 mg/dL o Weight > 40 kg
• The electrolyte replacement protocols, Calcium chloride (Level I areas only) or Calcium gluconate (all levels of care), Magnesium sulfate, Potassium chloride, or Potassium Phosphate, may be ordered individually or in combination.
POTASSIUM REPLACEMENT PROTOCOL – INTRAVENOUS
• Recommended rate of infusion is 10 mEq/h
• Maximum rate of intravenous replacement is 20 mEq/h with continuous ECG monitoring (the maximum rate may be increased to 40 mEq/h in emergency situations)
• Standard Concentrations: 10 mEq/50 mL, 10 mEq/100mL, 20 mEq/50 mL and 20 mEq/100 mL o Maximum Concentration for Central IV administration = 20 mEq/50 mL o Maximum Concentration for Peripheral IV administration = 10 mEq/50 mL
|Current Serum Potassium Level |Central IV Administration |Peripheral IV Administration |Monitoring |
|3.6 – 3.9 mEq/L |20 mEq IV over 2 HR x 1 |10 mEq IV over 1 HR x 2 |No additional action |
|3.4 – 3.5 mEq/L |20 mEq IV over 2 HR x 1 |10 mEq IV over 1 HR x 3 |No additional action |
| |AND | | |
| |10 mEq IV over 1 HR x 1 | | |
|3.1 – 3.3 mEq/L |20 mEq IV over 2 HR x 2 |10 mEq IV over 1 HR x 4 |Recheck serum

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