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Calcium Electrolyte Replacement Guidelines

Patients must meet the following criteria prior to initiation of the ICU Potassium Calcium Magnesium andor Phosphorus Replacement Protocols CrCl 45 mLmin Weight 40 kg Lowdose MagnesiumPotassium Replacement Protocol if CrCl 45 mLmin andor weight 40 kg See LowDose Electrolyte Replacement Protocol Patients on HD PD CRRT

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Introduction of calcium electrolyte replacement guidelines
  • Potassium Replacement
    Potassium Replacement

    3034 mgdL 6g CaGluconate 4 Hours After Replacement 2529 mgdL 8g CaGluconate 4 Hours After Replacement 25 mgdL 10 g CaGluconate NHO 4 Hours After Replacement Infuse 2gm per hour Approved Dr Addison K May MD FACS FCCM December 2013 Zaloga GP KR Bernards WC Layons AJ Fluids and Electrolytes

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  • Fluids and Electrolytes UCSF Benioff Childrens Hospital
    Fluids and Electrolytes UCSF Benioff Childrens Hospital

    Fluids and Electrolytes INTRODUCTION The requirements for fluids and electrolytes of the newborn infant are unique At birth there is an excess of extracellular water ECW and this decreases over the first few days after birth Furthermore ECW at birth and insensible water loss decrease as birth weight and gestational age increase

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  • ADULT ELECTROLYTE REPLACEMENT ORDERS
    ADULT ELECTROLYTE REPLACEMENT ORDERS

    Page 1 of 2 UMC Adult Electrolyte Replacement Order 040511 968 R2 Replacement orders should only be used in patients with a serum creatinine 2 mgdL BUN 30 mgdL and urinary output 30 mLhr An infusion pump is required for all electrolyte infusions Only the selected electrolytes will be replaced per protocol

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  • Nursing Service Guidelines General Electrolyte
    Nursing Service Guidelines General Electrolyte

    Electrolyte Infusion Guidelines at UTMC Guidelines Page 2 of 4 A DULT N ONICU E LECTROLYTE I NFUSION G UIDELINES Calcium Ca Magnesium Mg Phosphate

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  • Nursing Service Guidelines General Electrolyte Infusion
    Nursing Service Guidelines General Electrolyte Infusion

    Electrolyte Infusion Guidelines at UTMC Guidelines Page 3 of 4 Vial Concentration Administration Tips 1 mL 93 mg Ca 046 mEq Ca minimize irritation Calcium chloride should not be given IM or SC because severe tissue necrosis may occur Rapid administration may cause bradycardia hypotension and vasodilation

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  • ADULT ELECTROLYTE REPLACEMENT PROTOCOLS
    ADULT ELECTROLYTE REPLACEMENT PROTOCOLS

    Patients must meet the following criteria prior to initiation of the ICU Potassium Calcium Magnesium andor Phosphorus Replacement Protocols CrCl 45 mLmin Weight 40 kg Lowdose MagnesiumPotassium Replacement Protocol if CrCl 45 mLmin andor weight 40 kg See LowDose Electrolyte Replacement Protocol Patients on HD PD CRRT

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  • Electrolyte replacement chart UMKC School of Medicine
    Electrolyte replacement chart UMKC School of Medicine

    serumcalciumq6hor morefrequently aCalcium chloride should be administered via a central venous catheter to avoid extravasation and tissue necrosis 1000 mg calcium chloride 136 meq calcium 1 g calcium gluconate 456 meq calcium bMaximum rate of intravenous infusion 15 meq calcium per minute MAGNESIUMREPLACEMENT

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  • UpToDate
    UpToDate

    In patients with acute symptomatic hypocalcemia intravenous IV calcium gluconate is the preferred therapy whereas chronic hypocalcemia is treated with oral calcium and vitamin D supplements The treatment of hypocalcemia will be reviewed here

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  • Refeeding syndrome what it is and how to prevent and
    Refeeding syndrome what it is and how to prevent and

    Jun 28 2008 For patients with electrolyte deficits the new guidelines recommend immediate start of nutritional support at a lower rate rather than waiting till the electrolyte imbalance has been corrected as was recommended by previous guidelines thus potentially avoiding further nutritional deterioration in

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  • l Electrolyte Replacement Guidelines SORT
    l Electrolyte Replacement Guidelines SORT

    Electrolyte Replacement Guidelines TREATMENT Hypokalaemia Mild335 mmolL Moderate2530 mmolL and asymptomatic Prescribe oral supplementation if tolerated Oral potassium chloride 051mmolkg twice daily initially adjusted to requirements Available as KayCeeL liquid 1mmolml SandoK soluble tablets 12mmol per tablet Slow K slow

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  • Guidelines for the Management of Hypomagnesaemia
    Guidelines for the Management of Hypomagnesaemia

    V10 Guidelines for the management of hypomagnesaemia in Adult Clinical Haematology Authorised by Dr Andy PeniketNadjoua Maouche This is a controlled document and therefore must not be changed 90minutes 10mmol magnesium sulphate 5mL magnesium sulphate 50 injection 20mmol magnesium sulphate 10mL magnesium sulphate 50 injection

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  • Interim LSU Public Hospital ADULT ELECTROLYTE
    Interim LSU Public Hospital ADULT ELECTROLYTE

    ELECTROLYTE GUIDELINE All patients with Chronic Kidney Disease SCr greater than 25mgdl Renal Failure or Diabetic Ketoacidosis DKA are excluded from any electrolyte replacement protocol All IV electrolytes must be infused via pump When both serum magnesium and serum potassium are low replace magnesium first

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  • Electrolyte Replacement Critical Care ICUPCU 30400716
    Electrolyte Replacement Critical Care ICUPCU 30400716

    calcium CENTRAL IV 2 g IntraVENous for 30 Minutes Once For 1 Doses For ionized Calcium level less than 1 mmolL Recheck level 2 hours post infusion and replace per order If calcium chloride not available pharmacist will change order to calcium gluconate 3 g every 1 hour for 2 doses Do NOT infuse in HAND or Small Veins

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  • Scott White Pharmacy Initial Electrolyte Replacement
    Scott White Pharmacy Initial Electrolyte Replacement

    Scott White Pharmacy Initial Electrolyte Replacement Guidelines for MedSurg Patients This protocol is meant for initial electrolyte replacement in nonrenal patients and does not account for all variables for every patient Some patients may require higher

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  • ELECTROLYTE R PRESCRIBING SCH
    ELECTROLYTE R PRESCRIBING SCH

    Guideline Electrolyte Replacement Prescribing SCH CHW PPePolicyMar 18Electrolyte Replacement Prescribing This Guideline may be varied withdrawn or replaced at any time Potassium enteral only Magnesium and Calcium replacement in patients who are

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  • New Guidelines for Potassium Replacement in Clinical
    New Guidelines for Potassium Replacement in Clinical

    Kokko JPTannen RLeds Fluids and Electrolytes 3rd ed Philadelphia Pa The primary outcome of the meeting was the development of guidelines for potassium replacement therapy These guidelines represent a consensus of the Council members and are intended to provide a general approach to the prevention and treatment of hypokalemia

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  • MONITORED UNIT ELECTROLYTE REPLACEMENT
    MONITORED UNIT ELECTROLYTE REPLACEMENT

    The electrolyte replacement protocols will be followed ONLY when the patients urinary output 05mLkghr BUN 30 mgdL and serum creatinine 2mgdL The electrolyte protocols may be ordered in three different forms 1 Replace Calcium Magnesium Phosphorus and Potassium per protocols 2 Replace only Magnesium and Potassium per

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  • Electrolytes Enteral and Intravenous Adult Inpatient
    Electrolytes Enteral and Intravenous Adult Inpatient

    Consider oralenteral replacement if asymptomaticD 2 g calcium gluconate or 1 g calcium chloride optimally infused over 2 hours 19 Ionized unbound calcium concentrations are preferred over total serum calcium concentrations for hypocalcemia monitoring 20 Use oralenteral calcium for asymptomatic hypocalcemia ONLY 21

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  • Guidelines for Electrolyte Replacement
    Guidelines for Electrolyte Replacement

    Give 9 mEq 2 Grams of Calcium gluconate in 100 ml of NaCl or D5W and infuse over at least 15 minutes If symptoms of hypocalcemia persist or recur follow with an infusion of 27 mEq 6 Grams of calcium gluconate in 1 Liter 09 NaCl or D5W and infuse over 6 to 12 hours Drug Information Hotline 2159558877 Guidelines for Electrolyte Replacement

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  • Fluid and electrolytes UpToDate
    Fluid and electrolytes UpToDate

    UpToDate electronic clinical resource tool for physicians and patients that provides information on Adult Primary Care and Internal Medicine Allergy and Immunology Cardiovascular Medicine Emergency Medicine Endocrinology and Diabetes Family Medicine Gastroenterology and Hepatology Hematology Infectious Diseases Nephrology and Hypertension Neurology Obstetrics Gynecology and Women

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  • ADULT ELECTROLYTE REPLACEMENT PROTOCOLS
    ADULT ELECTROLYTE REPLACEMENT PROTOCOLS

    The electrolyte replacement protocols Magnesium Sulfate or Potassium Chloride may be ordered individually or in combination Calcium andor Phosphorus replacement needs to be ordered individually as required LOW DOSE POTASSIUM REPLACEMENT PROTOCOL INTRAVENOUS Recommended rate of infusion is 10 mEqhr

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  • Management of Hypocalcaemia GGC Medicines
    Management of Hypocalcaemia GGC Medicines

    Calcium salts up to 50mmol daily in 23 divided doses For example Sandocal1000 12 tablets 2550mmol in water other preparations are available If oral replacement is ineffective after 23 days in asymptomatic patients add in Alfacalcidol oral 1microgram daily elderly 500nanograms

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