Forum topic

I am having difficulty locating supportive literature for limiting IV KCL Peripheral for riders or primary IVF.  It has been our institutions P&P to limit peripheral IV KCL in 1L bags to 80 mEq and riders to no greater than 10 meq/100 ml IVF.  Our cardiologists specifically are challenging me and our pharmacy.  They are writing orders for up to 20 mEq/100 ml or 40 mEq/250 ml of IVF on cardiac patients that they are limiting fluids on.  This is an overall concentration of 160 - 200 mEq/L which I continue to find unacceptable peripherally.  I am siting our INS Practice & Principles as well as INS P&P guidelines with no avail.  The physicians are looking for additional supportive literature from their colleagues - they feel our practice is outdated.  Any thoughts?