Hyperkalemia "kits"

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jgold@ismp.org

3 posts / 0 new
Last post
Michele Holley
Michele Holley's picture
Last seen: 3 days 9 hours ago
Joined: 05/27/2020 - 09:55
Hyperkalemia "kits"

In December, ISMP published an article re: adverse glycemic events and critical emergencies. Safe practice recommendations included steps to avoid insulin mix-ups. Historically, we have experienced these errors in our ED and worked to limit the number of insulin products available, with a goal of removing regular insulin vials from the ED and sending patient-specific doses (diluted) for IV administration. Note: we also recently moved to EPIC with some prospective order review in the ED and Pyxis profiling, but there are still some gaps in coverage to be fixed)

One recommendation from was the use of a "Hyperkalemia Kit" (this is a new recommendation from ISMP).

- Does your institution stock regular insulin in the ED?
- If not, how do you dispense from pharmacy (kit vs. IV syringe, vs. diluted IV syringe i.e. 10mL total)?
- If you use a "kit", where/how is it stocked?

Thank you in advance for your perspective.