OB-GYN 101
Pharmacy

Category:

• Electrolyte and water

Description:

• Electrolyte

Indications:

• Used in large volume IV fluids as a potassium source for hypokalemia in patients with restricted or no oral intake

• IV additive when other the patient needs cannot be met by other formulations

Contraindications:

• Severe renal insufficiency or adrenal insufficiency

Precautions:

• Pregnancy category C

• High potassium concentrations may cause death by cardiac depression, arrhythmias or arrest

• Digitalized patients

• Excess dosing (acetate) may lead to metabolic alkalosis

• Infusion monitored by electrocardiograph

Adverse Reactions (Side Effects):

• With toxicity: 

  • paresthesias of the extremities

  • flaccid paralysis

  • listlessness

  • mental confusion

  • weakness and heaviness of the legs

  • hypotension, cardiac arrhythmias

  • heart block

  • prolonged QRS intervals

  • cardiac arrest

Administered intravenously only after dilution in a larger volume of fluid.

• Dose and rate of administration are dependent upon the individual needs of the patient.  

• Electrocardiograph and serum potassium should be monitored as a guide to dosage.

• Do not administer unless solution is clear.  Discard unused portion.