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


  • Ventolin nebules x2


  • 10 u regular insulin SC*
  • 1/2 amp D50 IV*
  • *given together at these doses there is usually no significant net change in glucose


  • 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