静脉补钾300例的合理性分析

Analysis of the rationality of intravenous potassium supplementation in 300 patients

目的:了解静脉补钾所开医嘱中存在的问题,以此提高全体医生正确使用氯化钾的比率。方法:随机选取静脉滴注氯化钾医嘱300例,记录住院患者一般情况及所开静脉补钾医嘱。重点对以下内容进行分析:补钾指征、开始补钾时血钾浓度、补钾的速度、溶媒选择及配伍方面是否合理,综合进行统计及分析。结果:300份静脉补钾医嘱很多方面存在不足,其中静脉补钾医嘱存在无使用指征30份,氯化钾溶媒选择不妥10份,医嘱存在配伍禁忌29份。结论:我院静脉补钾存在各方面问题,需要加强补钾药物的合理使用,减少静脉补钾的不良反应。

Objective:To understand the problems associated with intravenous potassium supplementation,thereby increasing the rate of correct use of potassium chloride by all physicians.Methods:300 cases of intravenous drip of potassium chloride were randomly selected.We record the general situation of hospitalized patients and intravenous potassium prescribed medical advice,focus on the following analysis:potassium indications,potassium began to potassium concentration,potassium speed,solvent selection and compatibility aspects of whether the rationality of the comprehensive statistics and analysis.Results:There were many deficiencies in 300 cases of intravenous potassium supplementation.There were 30 indications of no indication of intravenous potassium,10 copies of potassium chloride solvent and 29 cases of incompatibility.Conclusion:There are all kinds of problems of potassium supplementation in our hospital,so it is necessary to strengthen the rational use of potassium supplement drugs and reduce the adverse reaction of intravenous potassium supplementation.