K Phos Shortage

There is a K Phos shortage and this will affect our fluid orders, especially for DKA patients.  Please see table below to familiarize yourself with the fluids we will use instead.

	USUAL DKA fluid	ALTERNATIVE FLUID during KPhos shortage
Normal Saline bag with electrolytes	NaCl 154 mEq/L with  K Acetate 20 mEq/L and KPhos 20 mmol/L (total sodium = NS)	NaCl 114 mEq/L with K Acetate 20 mEq/L, KCl 20 mEq/L, and Sodium Glycophos 20 mmol/L  (=40 mEq Na) (total sodium = NS)
D10 bag with electrolytes	D10W with 0.45% NaCl (77 mEq/L)  K Acetate 20 mEq/L and KPhos 20 mmol/L (total sodium = ½ NS)	D10W with NaCl 37 mEq/L, K Acetate 20 mEq/L, KCl 20 mEq/L, and Sodium Glycophos 20 mmol/L (=40 mEq Na) (total sodium = ½ NS)

 
The orders for these fluids are on paper, not in CPOE.

Let me know if you have questions.

Erin