You receive a patient at 0800 with a weight of 132 lbs. The patient…
Question Answered step-by-step You receive a patient at 0800 with a weight of 132 lbs. The patient… You receive a patient at 0800 with a weight of 132 lbs. The patient has been diagnosed with diabetic ketoacidosis (DKA). The prescribing doctor orders to start the following DKA protocol: DKA Protocol IV fluid Sequence: • First infusion 0.9 sodium chloride (Na CI) 1000 ml over 2 hours • Second Infusion: 0.996 NaCl with KCl 20 mmol/L infuse two liters over 4 hours (Check serum potassium level at hour 3) • Third Infusion: 0.9% NaCl with KCl (see chart below for KCL dosage instructions based on serum potassium level) at 100 ml/hr until infusion discontinued. Potassium (K) ResultPotassium Chloride (KCI)Additional ActionsLess than 3mmol40 mmol/L Notify MD, repeat electrolytes in 1 hr3.0 to 3.3 mmol 40 mmol/LHold KCl if urine output less than 30 mL/hr3.4 to 5.5 mmol 20 mmol/L Hold KCl if urine output less than 30 mL/hrGreater than 5.5 mmoLNO KCI Hold KCl if urine output less than 30 mL/hr a. What flow rate will you set the IV pump for the first infusion (in ml/hour)? b. What flow rate will you set the IV pump for the second infusion (in ml/hour)? C. As ordered you check the serum potassium level. The serum potassium level is 2.7 mmol. How much potassium chloride will be added to 0.996 NaCl 1000 ml bag for the third infusion? d. How many mmol/mL of potassium (KCI) are in the 0.9% NaCl bag for the third infusion (from answer c)? e. What total fluid volume (in liters) did your patient receive by 1500 hours? Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
