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    Potassium Chloride (Ktab)

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    Marlisha D. Brinkley
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    Potassium Chloride (Ktab)

    Uploaded by

    Marlisha D. Brinkley
    214 views2 pages
    Thank you for the summary. I do not have any other questions at this time.

    Original Description:

    Nursing

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    Download as doc, pdf, or txt
    214 views2 pages

    Potassium Chloride (Ktab)

    Uploaded by

    Marlisha D. Brinkley
    Thank you for the summary. I do not have any other questions at this time.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Student: Client: Room: Date:

    Trade Name: K-Tab Generic Name: Potassium chloride


    Classification: Mineral and electrolyte replacements/supplements

    Action: Maintain acid-base balance, isotonicity, and electrophysiologic balance of the cell.
    Activator in many enzymatic reactions; essential to transmission of nerve impulses; contraction
    of cardiac, skeletal, and smooth muscle; gastric secretion; renal function; tissue synthesis; and
    carbohydrate metabolism.

    Why is the client receiving this medication? To maintain potassium blood levels, fluid balance

    Contraindications: Hyperkalemia; Severe renal impairment; Untreated Addisons disease; some


    products may contain tartrazine (FDC yellow dye #5) or alcohol; avoid using in patients with
    known hypersensitivity or intolerance; Hyperkalemic familial periodic paralysis.

    Patient Allergies: NKDA

    Most Common Side Effects:


    1. Abdominal pain
    2. Diarrhea
    3. Flatulence
    4. Nausea
    5. Vomiting

    Route & Dosage & Administration


    PO Adults: 4080 mEq/day. Children: 23 mEq/kg/day. Neonates: 26 mEq/kg/day.
    Prevention of hypokalemia during diuretic therapy
    Adults: 2040 mEq/day in 12 divided doses; single dose should not exceed 20 mEq.
    Neonates, Infants and Children: 12 mEq/kg/day in 12 divided doses.
    Treatment of hypokalemia
    Adults: 40100 mEq/day in divided doses.
    Neonates, Infants and Children: 25 mEq/kg/day in divided doses.

    Drug & Food Interactions:


    1. Use with potassium-sparing diuretics or ACE inhibitors or angiotensin II receptor
    antagonists may lead to hyperkalemia.
    2. Anticholinergics may inc. GI mucosal lesions in patients taking wax-matrix potassium
    chloride preparations.

    Lab Test Considerations:


    1. Monitor serum potassium before and periodically during therapy.
    2. Monitor renal function, serum bicarbonate, and pH.
    3. Determine serum magnesium level if patient has refractory hypokalemia; hypomagnesemia
    should be corrected to facilitate effectiveness of potassium replacement.
    4. Monitor serum chloride because hypochloremia may occur if replacing potassium without
    concurrent chloride.
    Nursing Implications:
    1. Assess for signs and symptoms of hypokalemia (weakness, fatigue, U wave on ECG,
    arrhythmias, polyuria, polydipsia) and hyperkalemia
    2. Symptoms of toxicity are those of hyperkalemia (slow, irregular heartbeat; fatigue; muscle
    weakness; paresthesia; confusion; dyspnea; peaked T waves; depressed ST segments;
    prolonged QT segments; widened QRS complexes; loss of P waves; and cardiac
    arrhythmias).

    Patient Teaching:
    1. Explain to patient purpose of the medication and the need to take as directed, especially
    when concurrent digoxin or diuretics are taken. A missed dose should be taken as soon as
    remembered within 2 hr; if not, return to regular dose schedule. Do not double dose.
    2. Emphasize correct method of administration. GI irritation or ulceration may result from
    chewing enteric-coated tablets or insufficient dilution of liquid or powder forms.
    3. Instruct patient to avoid salt substitutes or low-salt milk or food unless approved by health
    care professional. Patient should be advised to read all labels to prevent excess potassium
    intake.

    Evaluation:
    Prevention and correction of serum potassium depletion.
    Cessation of arrhythmias caused by digoxin toxicity.

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