I'm tired of replacing electrolytes!!!

Discussion in 'General Residency Issues' started by jb2, Nov 13, 2005.

  1. jb2

    jb2 Member
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    Will someone please do a research study to determine the benefits of replacing electrolytes in asymptomatic patients?
     
  2. docB

    docB Chronically painful
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  3. Lonestar

    Lonestar Senior Member
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    replacing electrolytes is for the most part the most ridiculous part of medicine in general. You mean to tell me there are no people walking around completely asymptomatic who do not have any electrolyte disturbances. C'mon, common sense goes a lot further, folks.
     
  4. 2ndyear

    2ndyear Senior Member
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    Just write a standing order when you admit a pt. Make it reasonable, like Tylenol, Colace, or sliding scale insulin. "K+ less than 3.5, give 40 mEq po, IV if pt is NPO, less than 3.0 give 80, less than 2.5 call MD, order basic metabolic panel on next am's draw." Do a google search for potassium replacement protocol and you should get something. We had one when I was an intern and it saved a whole lot of pages when the labs came back every day at 0400. Just write one order "replace K per protocol". Mg, phos, and Ca need a little more attention, especially in the ICU's.
     
  5. southerndoc

    southerndoc life is good
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    We can't write "sliding scale" electrolyte orders when patients are on the floor. It sucks. In the units, yes. In the floors, no.

    Another reason why I chose EM!
     
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