A client with a serum potassium level of 3.0 mEq/L has a prescription for potassium chloride 10 mEq in 100 mL to infuse intravenously over 1 hour through a peripheral IV. Which actions should the nurse take? Select all that apply.
- AConfirm that the client has adequate urine output before starting the infusion.
- BRun the infusion by gravity if an infusion pump is not available.
- CAdminister the infusion using an electronic infusion pump.
- DInject the potassium into the client's currently infusing 1-liter bag of IV fluid.
- EMonitor the IV site for pain, redness, and swelling during the infusion.
- FInfuse the potassium through the same IV line as a unit of packed red blood cells that is running.
Show answer and explanations
Answer
A, C, E
A: Renal elimination and adequate urine output are relevant before potassium replacement. B: IV potassium requires a controlled rate; a gravity drip can free-flow and cause dangerous hyperkalemia and dysrhythmias. C: A pump supports controlled prescribed delivery. D: Adding concentrated potassium to a hanging bag risks uneven mixing and error. E: The site needs monitoring for irritation and infiltration. F: Blood products should not share an unverified potassium-containing infusion line.
A
Renal elimination and adequate urine output are relevant before potassium replacement.
B
IV potassium requires a controlled rate; a gravity drip can free-flow and cause dangerous hyperkalemia and dysrhythmias.
C
A pump supports controlled prescribed delivery.
D
Adding concentrated potassium to a hanging bag risks uneven mixing and error.
E
The site needs monitoring for irritation and infiltration.
F
Blood products should not share an unverified potassium-containing infusion line.