Which order for potassium (KCl) would the nurse question? (Select all that apply.)
a. NS with 20 mEq KCl to start after patient voids
b. NS with 60 mEq KCl for a patient with a serum potassium of 3.2 mEq/L
c. K-Dur, 1 tablet daily for a patient in di-abetic ketoacidosis
d. K-Dur, 1 tablet with a full glass of water
e. Potassium chloride, 10 mEq rapid IV push
B, C, E
Patients receiving potassium should not receive potassium in solution diluted at more than 40 mEq/L. Diabetic ketoacidosis causes decreased cellular uptake of potassium, and patients in whom acidosis is present should also receive sodium bicarbonate if they need potassium. IV po-tassium should not be infused faster than 10 mEq/hr. NS with 20 mEq KCl is an appropriate so-lution for a patient with intact renal function. Oral potassium should be given with a full glass of water to minimize gastrointestinal (GI) effects.
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