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Sunday, 14 February 2016

Potassium Chloride : Commonly used drugs in Emergency & ICU





Potassium Chloride

Trade names: KCL for IV preparation Pregnancy: (Category A) Class: Electrolyte, mineral.
Action:
Uses:
       Patients receiving high doses of potent diuretics.
       Patients having secondary hyperaldosteronism.
       When there is excessive loss of potassium in feces.
       When potassium intake is not adequate (especially in elderly).
Dose:
by slow intravenous infusion, depending on the deficit or the daily maintenance requirements " usually 1-2 mEq/kg/day " Contraindications:
       Severe renal failure.
       If serum potassium level is over 5 mmol/liter.
Side effects:
       Hyperkalemia
       Phlebitis at injection site.
       Heart toxicity if infused rapidly.
       With oral tablet: Dyspepsia, nausea and vomiting, esophageal or bowel ulceration.
Nursing considerations:
       Mix solution well.
       Administer solution slowly (500 ML of solution over 2-3 hours) Monitor serum potassium level.
       Assess insertion site for signs of phlebitis.

       Give oral preparation on full stomach
Item Reviewed: Potassium Chloride : Commonly used drugs in Emergency & ICU Rating: 5 Reviewed By: Dr.MosabNajjar