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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
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