Keep Electrolyte Salts, Strengths, and Doses Straight

A recent mix-up is putting the spotlight on the importance of preventing errors with electrolytes (calcium, potassium, sodium, etc).

An order for NoSalt to be added to a baby's tube feeds as a potassium supplement was misread as meaning he should receive "no salt."

The patient's potassium bottomed out...then the prescriber accidentally ordered ten times too much to bring it back up.

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