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Hyperkalemia: Ateneo de Naga University College of Nursing Nursing Care Plan

The nursing care plan addresses a patient experiencing hyperkalemia, an electrolyte imbalance indicated by a high potassium level in the blood. The plan involves monitoring the patient's respiratory rate and providing interventions to gradually lower the potassium level. This includes identifying and discontinuing dietary sources of potassium, reviewing medications, and educating the patient on preventing future hyperkalemia through diet. After 8 hours of nursing interventions, the patient was able to gradually resume normal activities and maintain serum potassium levels in the normal range.

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Renie Serrano
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4K views1 page

Hyperkalemia: Ateneo de Naga University College of Nursing Nursing Care Plan

The nursing care plan addresses a patient experiencing hyperkalemia, an electrolyte imbalance indicated by a high potassium level in the blood. The plan involves monitoring the patient's respiratory rate and providing interventions to gradually lower the potassium level. This includes identifying and discontinuing dietary sources of potassium, reviewing medications, and educating the patient on preventing future hyperkalemia through diet. After 8 hours of nursing interventions, the patient was able to gradually resume normal activities and maintain serum potassium levels in the normal range.

Uploaded by

Renie Serrano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ATENEO DE NAGA UNIVERSITY

COLLEGE OF NURSING
NURSING CARE PLAN
HYPERKALEMIA

ASSESSMENT DIAGNOSIS RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION

After 8hrs of -Monitor respiratory rate -Clients may hypoventilate


Irritability Risk For Hyperkale and retain carbon dioxide
After 8hrs of
nursing and depth. Encourage
Paresthesia mia is an resulting in respiratory nursing
Electrolyte intervention the deep breathing and
acidosis. Muscular intervention the
and numbness Imbalance electrolyte patient will be coughing exercise. weakness can affect
patient was able
in extremities imbalance able to: Elevate the head of the respiratory muscles and
bed. lead to respiratory
to:
Skeletal muscle -Gradually
and is -Identify and discontinue complications. -Gradually
weakness resume usual dietary sources of resume usual
indicated -Facilitates the reduction
Idioventricular physical potassium, such as beans,
by a high of potassium levels and physical
cardiac activities dark leafy greens, may prevent recurrence of activities
arrhythmias level of -Maintain serum potatoes, squash, yogurt, hyperkalemia.
-Maintain serum
fish, avocados,
potassium potassium
potassium
mushrooms, and bananas.
in the levels at normal Requires regular levels at normal
range -Review drug regimen monitoring of potassium
blood. for medications
range
-Verbalize levels and may require
containing potassium or alternate drug choices or -Verbalize
causes of
affecting potassium. changes in the dosage or causes of
hyperkalemia frequency.
Administer medications hyperkalemia
and the role of
as indicated and the role of
diet in
-Discuss the importance Health teaching to prevent diet in
preventing
of avoiding foods high hyperkalemia in the future preventing
hyperkalemia
in potassium to prevent hyperkalemia
or control hyperkalemia

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