Development And Evaluation Of A Guideline On Potassium Chloride Intravenous Supplementation: Effectiveness, Safety And Cost Implications

The concentrated potassium chloride injection used in intravenous supplementation of potassium in hypokalemia is associated with risks of hyperkalemia and medication error. This study aimed to develop a guideline on potassium chloride intravenous supplementation with the emphasis of using premix...

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Main Author: Hirman, Melissa Mohammad
Format: Thesis
Language:English
Published: 2022
Subjects:
Online Access:http://eprints.usm.my/59256/
http://eprints.usm.my/59256/1/MELISSA%20BINTI%20MOHAMMAD%20HIRMAN%20-%20TESIS%20cut.pdf
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author Hirman, Melissa Mohammad
author_facet Hirman, Melissa Mohammad
author_sort Hirman, Melissa Mohammad
building USM Institutional Repository
collection Online Access
description The concentrated potassium chloride injection used in intravenous supplementation of potassium in hypokalemia is associated with risks of hyperkalemia and medication error. This study aimed to develop a guideline on potassium chloride intravenous supplementation with the emphasis of using premixed formulations and evaluate its safety, effectiveness and cost implications. In Phase I of this study, a nationwide survey was conducted among 207 Malaysian hospital physicians. The findings suggested that there were variations in Malaysian physician’s prescribing practice of intravenous potassium supplementation in the treatment of hypokalemia. Data analysis revealed different physicians background resulted in different prescribing practices which may be due to the complexity of patient’s clinical conditions and medications. This poses a challenge for prescribers to treat hypokalemia and supports the need to have a practical or general guideline that can be used under different clinical conditions. This survey also revealed that Malaysian physicians favoured premixed potassium chloride formulations where physicians find it would ease usage and is safer for the patient. In Phase II of this study, a guideline with emphasis of premixed formulations was developed and implemented in a private hospital.
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spelling usm-592562023-08-24T07:26:25Z http://eprints.usm.my/59256/ Development And Evaluation Of A Guideline On Potassium Chloride Intravenous Supplementation: Effectiveness, Safety And Cost Implications Hirman, Melissa Mohammad RS1-441 Pharmacy and materia medica The concentrated potassium chloride injection used in intravenous supplementation of potassium in hypokalemia is associated with risks of hyperkalemia and medication error. This study aimed to develop a guideline on potassium chloride intravenous supplementation with the emphasis of using premixed formulations and evaluate its safety, effectiveness and cost implications. In Phase I of this study, a nationwide survey was conducted among 207 Malaysian hospital physicians. The findings suggested that there were variations in Malaysian physician’s prescribing practice of intravenous potassium supplementation in the treatment of hypokalemia. Data analysis revealed different physicians background resulted in different prescribing practices which may be due to the complexity of patient’s clinical conditions and medications. This poses a challenge for prescribers to treat hypokalemia and supports the need to have a practical or general guideline that can be used under different clinical conditions. This survey also revealed that Malaysian physicians favoured premixed potassium chloride formulations where physicians find it would ease usage and is safer for the patient. In Phase II of this study, a guideline with emphasis of premixed formulations was developed and implemented in a private hospital. 2022-08 Thesis NonPeerReviewed application/pdf en http://eprints.usm.my/59256/1/MELISSA%20BINTI%20MOHAMMAD%20HIRMAN%20-%20TESIS%20cut.pdf Hirman, Melissa Mohammad (2022) Development And Evaluation Of A Guideline On Potassium Chloride Intravenous Supplementation: Effectiveness, Safety And Cost Implications. PhD thesis, Universiti Sains Malaysia.
spellingShingle RS1-441 Pharmacy and materia medica
Hirman, Melissa Mohammad
Development And Evaluation Of A Guideline On Potassium Chloride Intravenous Supplementation: Effectiveness, Safety And Cost Implications
title Development And Evaluation Of A Guideline On Potassium Chloride Intravenous Supplementation: Effectiveness, Safety And Cost Implications
title_full Development And Evaluation Of A Guideline On Potassium Chloride Intravenous Supplementation: Effectiveness, Safety And Cost Implications
title_fullStr Development And Evaluation Of A Guideline On Potassium Chloride Intravenous Supplementation: Effectiveness, Safety And Cost Implications
title_full_unstemmed Development And Evaluation Of A Guideline On Potassium Chloride Intravenous Supplementation: Effectiveness, Safety And Cost Implications
title_short Development And Evaluation Of A Guideline On Potassium Chloride Intravenous Supplementation: Effectiveness, Safety And Cost Implications
title_sort development and evaluation of a guideline on potassium chloride intravenous supplementation: effectiveness, safety and cost implications
topic RS1-441 Pharmacy and materia medica
url http://eprints.usm.my/59256/
http://eprints.usm.my/59256/1/MELISSA%20BINTI%20MOHAMMAD%20HIRMAN%20-%20TESIS%20cut.pdf