A new nurse is working for the cardiac unit of the community hospital. The health care provider has ordered 20 mEq of KCl per L to be added to the fluids that the patient is receiving. The patient currently has a bag of D5W IV fluid infusing
Which of the following actions is most appropriate? A. Pushing 20 mEq KCl diluted in 5 mL of fluid in five minutes
B. Estimating the amount of fluid in bag that is infusing and adding KCl to equal 20 mEq/L
C. Replacing bag after it has infused with one containing 20 mEq KCl/L
D. Removing current IV bag and replacing with fluids that have been ordered
D
Under no circumstances should KCl be given in an IV push. A direct IV infusion of KCl may be fatal. IV administration of KCl requires dilution in solution and infusion over a period of time.
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