Kidney problems. If you continue to use this site we will assume that you are happy with it. During the treatment, however, low potassium may result due to the administration of insulin. 7. Review drug regimen for medications containing potassium or affecting potassium excretion such as spironolactone (Aldactone), hydrochlorothiazide (Maxzide), amiloride (Midamor), and penicillin G.Requires regular monitoring of potassium levels and may require alternate drug choices or changes in the dosage or frequency. The recommended dietary replacement for potassium is 40 to 60 mEq/L/day. Further evaluation may include measurement of serum glucose to evaluate for hyperglycemia, and measurement of serum renin, aldosterone, and cortisol to further investigate kidney and adrenal function. Administer medications as ordered.Aldosterone receptor antagonists (such as spironolactone or eplerenone) can be used to treat mild hypokalemia. each day. Further replenishment can proceed more slowly, and attention can turn to the diagnosis and management of the underlying disorder.15 Patients with a history of congestive heart failure or myocardial infarction should maintain a serum potassium concentration of at least 4 mEq per L (4 mmol per L), based on expert opinion.15. Renal function should be monitored for patients receiving potassium replacement. Nursing Diagnosis: Risk for Decreased Cardiac Output. Position the patient therapeutically.Elevate the legs when hypotension occurs in hyperkalemia. While some can be found in the bones, liver, and red blood cells, 98% is found in the muscle cells. Urine test. (2015 Nov 22). Folic acid deficiency. Although hypokalemia can be transiently induced by the entry of potassium into the cells, most cases result from unreplenished gastrointestinal or urinary losses due, for example, to vomiting, diarrhea, or diuretic therapy []. A detailed medication list is vital as abnormal potassium levels can be caused by certain medications. Eh wala, yung 15, naging 7. Create a daily weight chart and a food and fluid chart. Kathleen Salvador is a registered nurse and a nurse educator holding a Masters degree. Some types of diuretics increase potassium excretion through the kidneys. Changes in the level of consciousness (lethargy, disorientation, confusion to coma). 6. Potassium is an important electrolyte for nerve and muscle cell functioning, especially for muscle cells in the heart. Harding, M. M., Kwong, J., Roberts, D., Reinisch, C., & Hagler, D. (2020). 1 - 3 Hyperkalemia (serum potassium level. 1. Inhaled Beta Agonists. Check for safety hazards in the patients environment.Assess the following environmental factors: 5. Review the patients current medications.Imbalanced potassium and the use of cardiac medications (used to treat dysrhythmias) greatly increase the risk for muscle weakness and potential falls. These can include assistive devices, braces, and adaptive equipment. If able to eat and drink, administer PO potassium. Nursing diagnoses handbook: An evidence-based guide to planning care. It will include three Hypokalemia nursing care plans with NANDA nursing diagnoses, nursing assessment, expected outcome, and nursing interventions with rationales. The patient needs to avoid foods high in potassium such as bananas. Hypokalemia Nursing Care Plan - RN speak This indicates depletion in the normal potassium levels in the body, a potential life-threatening emergency and can be fatal. However, potassium will need to be given intravenously in the following conditions: Treating of underlying disease. Gitelman Syndrome UK [gitelmansuk]. Skidmore-Roth Publications. Hypokalemia and Hyperkalemia Nursing Care Plan 2 Medication intake. before you can make any diagnosis you must consider many factors: a health history (review of systems) performing a physical exam assessing their adls (at minimum: bathing, dressing, mobility, eating, toileting, and grooming) (2020). Studies suggest that some antibiotics can cause high potassium levels. Monitor respiratory rate and depth. 3. Encourage deep breathing and coughing exercise. Hypothermia and increased blood cell production (for example, leukemia) are additional risk factors for developing hypokalemia. Treat underlying conditions.Potassium imbalances can be caused by kidney disease, diabetes, alcoholism, Addisons disease, and more. Possible causes of hypokalemia include the following: Possible causes of hyperkalemia include the following: Signs and symptoms of potassium imbalance include: To ensure proper functioning and homeostasis the body must maintain a dynamic equilibrium of fluids and electrolytes. Potassium also maintains normal neuromuscular contraction by participation in the sodium-potassium pump. Other recommended site resources for this nursing care plan: Other nursing care plans related to endocrine system and metabolism disorders: document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Matt Vera, a registered nurse since 2009, leverages his experiences as a former student struggling with complex nursing topics to help aspiring nurses as a full-time writer and editor for Nurseslabs, simplifying the learning process, breaking down complicated subjects, and finding innovative ways to assist students in reaching their full potential as future healthcare providers. Conditions such as alcoholism, eating disorders, and renal disorders can cause a severe case of hypokalemia. Wound Care & Infection Nursing Diagnosis & Care Plan, Parkinsons Disease Nursing Diagnosis & Care Plan, Hypokalemia serum potassium level < 3.5 mEq/L (3.5 mmol/L), Hyperkalemia serum potassium level > 5.0 mEq/L (5.0 mmol/L), Excessive use of potassium-wasting diuretics, Increased production of aldosterone (water and salt regulating hormone) (such as in Cushings syndrome), Kidney disease impairing the reabsorption of potassium, Poor potassium intake such as through eating disorders.
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