Question

Pharmacy stated there will be a change in the TPN order due to an elevated potassium level of 5.9. Which action should the nurse take?

A) Notify pharmacy to bring the new bag with the changes in electrolyte in the TPN to the floor

B) Hang D5W via the infusion pump at 15 mL/hr

C) Hang D10W via the infusion pump at 75 mL/hr    

D) Notify the healthcare provider that the new TPN is not on the unit

Answer 1

Option c

Rational:

Hyperkalemia is treated with exogenous concentrated glucose. Because this exogenous concentrated glucose helps in 1. Stimulate insulin secretion thus helps in reducing potassium level

Insulin shift glucose into the cell.

Option c contains high concentrated glucose, so its correct answer.

Option b is low concentrated glucose so its not correct answer.

Option a and d are unnecessary action.