Safety of a Nurse-Driven Standardized Potassium Replacement Protocol in Critically Ill Patients With Renal Insufficiency

Author(s): Rebecca Conley, PharmD, BCCCP, Rebecca L. Rich, PharmD, BCPS, BCCCP, Jennifer Montero, PharmD, BCPS, BCCCP

Contact Hours 1.00

CERP A 1.00

Pharmacology Hours 0.50

Expires Apr 01, 2023

Topics: Medication Management, Patient Safety, Renal

Population: Geriatric, Adult

Role: Staff, Educator

Member: Free
NonMember: $10.00

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

According to the study results described in this article, a standardized potassium replacement protocol can be used safely in critically ill patients with renal insufficiency not requiring renal replacement therapy. Hyperkalemia was observed in only 5 patients (3.4% of the total study population), and 4 of these patients had a SCr level of 2 mg/dL or less. No interventions were required for any cases of hyperkalemia.


  • Identify the importance of maintaining a normal concentration of serum potassium, including the risk associated with hypo- & hyperkalemia.
  • Describe the incidence of hyperkalemia with standardized potassium replacement in patients with SCr ≤ 2 mg/dL and SCr > 2 mg/dL.
  • Analyze the limitations associated with applying nurse-driven standardized potassium replacement to critically ill patients.

Continuing Education Disclosure Statement

Successful Completion

Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. No conflicts of interest have been identified for any individual with the ability to influence the content of this activity. Accreditation refers to recognition of continuing education only and does not imply AACN or ANCC approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.


The American Association of Critical-Care Nurses (AACN) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing (CBRN), California Provider number CEP 1036. This activity is approved for 1.00 contact hours.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

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