ED Pediatric DKA/HHS IV Orders

ED Pediatric DKA/HHS IV Fluids
Initial Serum K+ Tailored Potassium Fluid Additives
< 5 mmol/L 1) Potassium Acetate 30 mEq/L + Potassium Phosphate 30 mEq/L + NS 1,000 mL
AND
2) Potassium Acetate 30 mEq/L + Potassium Phosphate 30 mEq/L + D10 ½NS 1,000 mL
5 - 5.9 mmol/L 1) Potassium Acetate 20 mEq/L + Potassium Phosphate 20 mEq/L + NS 1,000 mL
AND
2) Potassium Acetate 20 mEq/L + Potassium Phosphate 20 mEq/L + D10 ½NS 1,000 mL
>5.9 mmol/L 1) NS 1,000 mL
AND
2) D10W ½NS 1,000 mL
Total fluid rate (both bags together) should equal 1.5 x maintenance (maximum 175 mL/kg total).  Provider is to determine this rate.

Pharmacy Contact Info:

Main Inpatient Pharmacy: ext 4599, 3503
Fax: 704-878-7283

Director of Pharmacy - Randi Raynor, PharmD: ext 4501
Clinical Coordinator - Laura Rollings, PharmD: ext 4597
Pharmacy Informaticist - Stephen Pringle, PharmD: ext 7645
Pharmacy Technician Supervisor - Amy Wingler, CPhT: ext 7385
Pharmacy Automation Coordinator (Omnicell) - Melissa Fulford, CPhT: ext 3556



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