Potassium Cl Drug Card PDF

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Summary

Need to know information on potassium...

Description

DRUG CARD

Student Name: Lionel Tabong.

Therapeutic class of drug: Electrolyte Replacement/Supplements Pharmacologic class of drug: MEDICATION (GENERIC name): Potassium chloride

(BRAND name): K+10, Micro-K 10, Klotrix

MECHANISM OF ACTION: Maintain acid-base balance, isotonicity & electrophysiology balance of cells INDICATIONS: Treatment/Prevention of potassium depletion. CONTRAINDICATIONS: Hyperkalemia, Severe renal impairment, Untreated Addison’s disease, Tartrazine/alcohol products PERTINENT LABS TO MONITOR: K, BUN, Creatinine, bicarbonate, pH, Cl, Mg ROUTES: PO,

RECOMMENDED DOSAGE RANGE: 20-80mEq/day(Adults), 2-6 mEq/kg/day(Children/neonates) Common side-effects

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Life-threatening side effects

Confusion abdominal pain, diarrhea, flatulence, nausea, vomiting Paresthesia. ECG changes.

Arrhythmias Hyperkalemia (slow irregular HB, fatigue, muscle weakness, paresthesia, confusion, dyspnea, peaked T waves, widened QRS complex, loss of P waves, depressed ST segment) What focused assessment should be performed prior to administration to ensure the medication is safe to give?  

Nursing Implications/Patient and family teaching:  Take with/after meals & full glass of water to reduce GI irritation  Dissolve effervescent tablets in 3-8 oz of cold water  Don’t chew/crush enteric-coated or extended release tablets  Monitor serum K, Cl, Mg, bicarbonate & renal function  Avoid salt supplements/low salt milk/food f read all labels to avoid excess K intake  Report dark, tarry stools, weakness, unusual fatigue or tingling of extremities or persistent nausea, vomiting, diarrhea, stomach discomfort

SS of hypokalemia (weakness, fatigue, U wave on ECG, polyuria, polydipsia, arrhythmias) & hyperkalemia WHY? Risk for hyperkalemia

Interactions:  Use with K sparing diuretics, ACE inhibitors, ARBs may cause hyperkalemia  Anticholinergics may increase GI mucosal lesions if taken concurrently

Antidote/Reversal agents: Na bicarbonate, dextrose, Insulin Ca, Sodium polystyrene (K exalate)

For IV fluids & IVP or IVPB medications, fill out the sections below: IV flow rate (e.g. ml/hr)

Rate of administration (minutes)

IV site (Y-site) compatibility Peak: 1-2hr

Dilution (typically only needed for IVP)...