Shifting potassium in hyperkalemia, orders for acute management
Posted by dkwinter

Immediately

  • 10 u regular insulin SC
  • 1/2 amp D50 IV
  • Ventolin nebules x2
  • Kayexalate 15 g PO QID (slow but start early)
  • Review PMHx, meds (digoxin?) and recent labs to assess risk of hypercalcemia b/c may also need calcium gluconate