MANASAN, Chezka Andrea S. RLE 6.4
NURSING CARE PLAN e.g., bananas, oranges, dried f ruits, red meat, turkey, salmon, leaf y vegetables, peas, baked potatoes, tomatoes, winter squash, coff ee, colas, tea. Discuss use of potassium chloride salt substitutes f or patient receiving long-term diuretics.
the diet when patient is allowed oral f ood and f luids. Dietary replacement of 4060 mEq/L/day is typically suff icient if no abnormal losses are occurring.
Watch f or signs of y Low potassium enhances digitalis intoxication when eff ect of digitalis, slowing (e.g., used reports of cardiac conduction. Note: Combined nausea/vomiting, blurred eff ects of digitalis, vision, increasingatrial diuretics, and hypokalemia may dysrhythmias, and heart produce lethal block). dysrhythmias.
y
COLLABORATIVE: y Monitor studies, e.g.: Serum potassium;
ABGs;
2
laboratory
Levels should be checked f requently during replacement therapy, especially in the presence o f insuff icient renal f unction. Sudden excess/elevation may cause cardiac dysrhythmias. y
Correction of metabolic alkalosis raises serum potassium level and reduces replacement needs. Correction of acidosis drives potassium back into cells, resulting in decreased serum levels and increased replacement needs.
MANASAN, Chezka Andrea S. RLE 6.4
NURSING CARE PLAN
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