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IP - Severe Hyperkalemia - Neonatal - Supplemental [4852]

IP - Severe Hyperkalemia - Neonatal - Supplemental [4852] - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Order Sets, Inpatient, Hospital-wide


SmartSet: IP - SEVERE HYPERKALEMIA - NEONATAL - SUPPLEMENTAL
(ID:4852)
General Information
Display name: IP - Hyperkalemia - Neonatal - Supplemental
Type: General
Merge priority: 0
Version comment:
Content source:
Synonyms: 1. Hyperkalemia
2. Neonatal
3. K
4. High Potassium
5. Potassium
6. NICU
7. .NICU
SmartSet notes:
Description: Suggested Use for Ages 0-6 Months
CAUTION: Before ordering sodium polysteyrene sulfonate (KAYEXALATE)
consider before ordering for patients with high risk for NEC, extreme prematurity,
or abdominal surgical issues.
High Alert: Severe Hyperkalemia is defined as potassium (K) equal to or greater
than 7 on a non-hemolyzed sample. Provider to discontinue any potassium
containing fluids or medications containing potassium. Discontinue potassium
containing feeds.
Web information: Title URL
1.
Questionnaire:
Configuration
Patient Care Orders
Medications
Page 1 of 4
Copyright © 2016 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org

Immediate Action Medications (Cardiac Membrane Stabilization)
calcium GLUConate intraVENOUS 100 mg/kg, Intravenous, ONCE For 1 Doses
1st line choice. Location: Central Pharmacy. Okay to
repeat doses if EKG changes persist.
calcium CHLOride intraVENOUS Intravenous, ONCE For 1 Doses
Central Venous Line Only
2nd line choice. Location: Crash cart for urgency
administration.
sodium bicarbonate injection 1-2 mEq/kg, Intravenous, ONCE For 1 Doses
Fast Acting (Onset of Action: 15 - 30 Minutes)
insulin lispro (human) 100 UNIT/ML injection -
NOTE: Suggested Dose = 0.1 units/kg [
insulin lispro (human) (HUMALOG) 100 UNIT/ML
injection
Intravenous, ONCE For 1 Doses
NOTE: Suggested Dose = 0.1 units/kg
dextrose injection 0.5 g/kg, Intravenous, ONCE For 1 Doses
Administer prior to insulin if ordered together for
the treatment of hyperkalemia
albuterol 2.5 mg/3 mL neb soln 1.25 mg, Nebulization, EVERY 30 MINUTES For 3
Doses
Intermediate Acting (Onset of Action: 1 - 2 Hours)
furosemide (LASIX) intraVENOUS - NOTE:
Suggested dose 1-4 mg/kg/dose
Intravenous
sodium polystyrene sulfonate (KAYEXALATE)
susp
Oral, ONCE For 1 Doses
sodium polystyrene sulfonate (KAYEXALATE)
susp
Rectal, ONCE For 1 Doses
IV Fluids
dextrose 10 % infusion Intravenous, CONTINUOUS
dextrose 10 %, amino acids (TROPHAMINE) 3.5
%, heparin 0.5 Units/mL in water (sterile)
Intravenous, CONTINUOUS
dextrose 10% 1/2 Normal Saline Intravenous, CONTINUOUS
dextrose 10% 1/4 Normal Saline Intravenous, CONTINUOUS
Laboratory
Laboratory
POTASSIUM STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw every *** hours until potassium within normal
limits.
Laboratory
BUN STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Preferred draw method: venous
Page 2 of 4
Copyright © 2016 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org

CALCIUM STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Preferred draw method: venous
CALCIUM, IONIZED STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Preferred draw method: venous
CREATININE STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Preferred draw method: venous
ELECTROLYTES STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Preferred draw method: venous
GLUCOSE STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Preferred draw method: venous
GLUCOSE STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw 30 minutes after administration of insulin and
Dextrose. Preferred draw method: venous
POTASSIUM STAT - RN COLLECT For 1 Occurrences, Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition?
Draw every *** hours until potassium within normal
limits.
Preferred draw method: venous
POTASSIUM - STAT STAT - RN COLLECT, Starting S For 1 Occurrences,
Routine
If add on test, what should lab do if unable to add test
to previous specimen?
If Conditional, What Condition? STAT for any
potassium greater than or equal to 6.5 mmol/L
Preferred draw method: venous
Consults
Consults
Consult Pediatric Renal - Nephrology Normal, Routine, Qty-1
Diagnostic Tests and Imaging
Page 3 of 4
Copyright © 2016 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org

Diagnostic Tests and Imaging
ECG - 12 Lead (PEDS) ONCE, Starting S For 1 Occurrences, Routine
Reason for exam:
Criteria
Suggestions: UWIP C LOGIN DEPT IPPED NEONATAL INTENSIVE CARE[3001764]
Filter: UWIP ORDER SET RESTRICTOR - IP AND PEDS - NOT IP DC[3000404]
Restrict SmartSet:
Settings
Discontinue action:
Deselect sections for
Pended/Held orders:
Pended/Held orders
display:
Release date: Use System Definitions Setting
Disallow user override:
Page 4 of 4
Copyright © 2016 University of Wisconsin Hospitals and Clinics Authority
Contact: Lee Vermeulen, CCKM@uwhealth.org Last Revised: 12/2016CCKM@uwhealth.org