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Potassium Chloride drip (KCl)

Dosage, Route, Mechanism of


Drug Name Indication Contraindication Adverse Effect Nursing Responsibilities
Frequency Action
Maintain acid-base Treatment/ Contraindicated in: CNS: restlessness, Assessment
Generic Name: KCL Drip 40mEq balance, isotonicity, prevention on of Hyperkalemia, severe weakness
Potassium Chloride to be mixed in and electro- potassium renal impairment,  Assess signs and symptoms of
current IVF to run physiologic balance depletion. some products may CV: arrhythmias hypokalemia (weakness, fatigue, U wave
Brand Name: for 16hrs for 2 of the cell. contain tartrazine on ECG, arrhythmias) and hyperkalemia
Kalium durule cycles Activator in many (FDC yellow dye #5) GI: Abdominal pain, (see Toxicity and Overdose)
enzymatic or alcohol; avoid using diarrhea, nausea and  Monitor pulse, blood pressure periodically
Classification reactions; essential in patient with known vomiting. during IV therapy.
Therapeutic: Mineral and to transmission of hypersensitivity or Lab test consideration:
electrolyte nerve impulses; intolerance. Local: irritation on IV site.  Monitor serum potassium before and
replacements/supplements contraction of periodically during therapy. Monitor renal
cardiac, skeletal function, serum bicarbonate and pH.
and smooth muscle; Determine serum magnesium has
gastric secretions; refractory hypokalemia, Monitor serum
renal function; chloride because hypochloremia may
tissue synthesis; occur if replacing potassium without con-
and carbohydrate current chloride.
metabolism .  Toxicity and Overdose: symptoms of
Therapeutic effects: toxicity are those of hyperkalemia (slow,
Replacement. irregular heartbeat; fatigue, muscle
Prevention of weakness; paresthesia; confusion;
deficiency dyspnea
 Treatment includes discontinuation of
potassium.

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