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, 2024

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, read Implicit Bias impacts patient outcomes, and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.


The American Association of Critical-Care Nurses is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's Commission on Accreditation.

Provider approved by the California Board of Registered Nursing, Provider number CEP 1036, for 1.00 contact hours.

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