Protocol for addition of kcl to Dialysis solution(Part A)

If predialysis serum potassium level is < 4 mEq/l, the dialysis solution( dialysate)

potassium concentration should be 4 mEq/l or higher.

Add 2 mEq kcl to 1 L Dialysis solution ( 20 mEq kcl to 10 L dialysis solution).

In patients with a predialysis serum potassium level > 5.5 mEq/l, dialysis solution.

potassium concentration of 2 mEq/l is appropriate in stable patient.( No need to add

kcl to dialysis solution).

Dialysis solution potassium concentration should be raised to 2.5 mEq to 3 mEq in

patient at risk for arrhythmia( in hypokalemia).

Whenever serum potassium level is >7 mEq/l, the dialysis solution potassium

concentration should be Zero( Potassium free dialysis solution should be used).

Source of recommendation: - Daugirdas Handbook of Dialysis

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