Implementation
- High Alert: Too rapid or bolus IV administration of potassium has resulted in fatalities. See IV administration guidelines below.
- PO: Powder packets should be dissolved in 75 mL of water. Allow mixture to stand for 2–5 min to ensure that it is fully dissolved.
- Medication should be administered with meals to minimize gastric irritation and risk of diarrhea.
- Do not administer simultaneously with antacids containing aluminum, magnesium, or calcium.
- IV: High Alert: Administer only in dilute concentration. Common component of total parenteral nutrition. Do not administer IM.
- Continuous InfusionDiluent: Dilute with 0.45% NaCl, 0.9% NaCl, D5W, D10W, D5/0.45% NaCl, D5/0.9% NaCl, or TPN solutions Doses usually placed in 250–500 mL.
- Rate: High Alert: Infuse as a continuous infusion at a slow rate (over 4–6 hr) maximum: 0.06 mmol/kg/hr.
- Concentration Peripheral line maximum: 0.05 mmol/mL; Central line maximum: 0.12 mmol/mL.
- Y-Site Compatibility
- ciprofloxacin
- diltiazem
- enalaprilat
- esmolol
- famotidine
- labetalol
- Additive Compatibility
- magnesium sulfate
- metoclopramide
- verapamil
- Solution Incompatibility
- Ringer's or lactated Ringer's injection
- D10/0.9% NaCl
- D5/LR
potassium phosphate has been found in Davis's Drug Guide
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