Protocol-driven replacement

Protocol-driven replacement protocols are evidence-based tools to give nurses the ability to replace low electrolyte levels in a safe and efficient manner. The electrolytes are replaced according to a goal level set by the provider and kidney function (GFR level). A sliding scale level is used to determine the amount of replacement needed.

Here are some practice questions for electrolyte replacement:

The patient is NPO for a procedure and is on the potassium replacement protocol. The goal for the patient is K of 3.5. Morning labs are K of 3.3 and GFR > 60.

The orders are as follows:

Replace potassium with the following sliding scales. The oral route is preferred if the patient is able to take orals.

For GFR > 60 OR

Recheck potassium 4 hours after the replacement is completed.

1) Indicate the amount and how many doses of IV or PO the nurse will administer? __________mEq every ______ hr(s) X__________doses (IV or po) circle

2) The patient has had the procedure and has resumed a diet. The recheck potassium 4 hours after the initial replacement is 3.0. Indicate the amount and how many doses the nurse will administer? __________mEq every ______ hr(s) X__________doses (IV or po) circle