High K+

So what does the K+ stand for--- potassium and a high or low value outside of the normal value is a BAD thing.  Zane had his diuretic decreased and with the decrease in his diuretic his urine output also fell off to 1.2 ml/kg/, for a infant his size we like to see greater than 2.  Although his urine output had decreased he was still receiving his potassium supplements in his feeds of 3meq/kg and this combination (low urine output high supplements) caused him to have a high potassium level of 7.4
Zane's potassium was stopped and he showed no cardiac changes but 3 arterial sticks were done during the night shift to monitor his potassium level. 

Zane was also put on a renal dose of dopamine  to increase his urine output and when that did not work he was given a normal saline bolus which worked well!  By morning his urine output was up to 6ml/kg.  His nurse remember to give him toot sweet before his arterial stick and you can see the "ahhh that was good" on his face he sure does like his sugar!