A child is hospitalized with acute kidney injury (AKI) and has a critical hyperkalemia. Which order would the nurse question as inappropriate for this child?
A.
Calcium gluconate
B.
Dextrose and insulin
C.
Emergent dialysis
D.
Kayexalate (sodium polystyrene) enema
ANS: D
Kayexalate enemas can take up to 4 hours to work. With critical hyperkalemia, the drug of choice needs to work faster than this. The other options would all work faster.
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