Children's Hospital Potassium Policy


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Potassium Infusion Guidelines - Children's Hospital

Potassium chloride intravenous boluses (K⁺ Runs) are NOT permitted for general use in the Children’s Hospital. Exceptions include:

Pediatric intensive care unit; (0.25mEq/kg - 0.5mEq/kg)
Neonatal intensive care unit; (0.25mEq/kg - 0.5mEq/kg)
Hematology/oncology service, with order written by senior resident or attending physicians; (0.25mEq/kg).

Low serum potassium levels may be replaced by:

Increasing the potassium concentration in maintenance fluids for a limited number of hours to provide the extra potassium needed.
Providing oral replacement is also an option.

Note: For potassium runs in 4PIC/4NIC, dose = 0.25mEq/kg - 0.5 mEq/kg, maximum of 10 mEq/hour and not to exceed 1 mEq/kg/hr). For the H/O patients,potassium runs dose = 0.25mEq/kg.

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Approved by P&T Committee: 1/02 | Posted on: 8/02 | For Internal University of Kentucky Chandler Medical Center Use Only

Comments to Kelly Smith, Pharm.D., Last Modified: August 13, 2006
Copyright © 2002, University of Kentucky Chandler Medical Center
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