Electrolyte Replacement Flashcards
1
Q
Potassium Chloride - Nursing Considerations
A
- Utilize electrolyte replacement protocol
> oral admin preferred
> follow doing & lab draw times - Throughout admin monitor for:
> cardiac abnormalities (tele not required)
> vein phlebitis (if IV)
2
Q
Potassium Chloried PT Education
A
- Incr intake of high K foods
- Do NOT break, crush, or chew ER caps or enteric capsules
- Report burning sensation at IV site
3
Q
Potassium Chloride Oral Administration
A
- Do not break, crush, or chew ER caps or enteric capsules
- W/ or after meals w/ full glass water
- Dissolve effervescent tabs in 8oz cold water
4
Q
Potassium Chloride IV Administration
A
- Central line preferred
> caustic to veins - Admin rate:
> 10 mEq/hr
> slower through IVP
> tele not required - Monitor IV site for phlebitis
- Do not admin SQ or IM
5
Q
Fluid & Electrolytes Nursing Considerations
A
- Hx & Physical
- Monitor
> fluid vol (overload or dehydration); HR, BP, heart, lungs - Fluid I&O
> should be balanced; urine 30mL/hr - Daily weights
> best way to determine fluid status
> edema not apparent until 5-10lb excess fluid
> rapid gain or loss of 1kg (2.2lb) = 1L of fluid - Lab studies as appropriate to admin
6
Q
Lab Studies for Fluid Imbalance
H/H
A
- Incr: fluid vol deficit (dehydration)
- Dcr: fluid overload (dilution); massive blood loss
7
Q
Lab Studies for Fluid Imbalance
BUN
A
- 8-20 mg/dl
- Incr: dehydration or impaired renal func
- Dcr: fluid overload
8
Q
Lab Studies for Fluid Imbalance
creatinine
A
- 0.6-1.2 mg/dl
- Incr: renal failure
9
Q
Lab Studies for Fluid Imbalance
specific gravity
A
- 1.010-1.025
- Incr: dehydration
- Dcr: fluid overload
10
Q
Potassium Chloride
class
action
indication
route
AEs
A
- Class: Electrolyte Replacement
- Action: transmission of nerve impulses, cardiac contraction, renal func, intracellular ion maintenance
- Indication: prevention & treatment of hypokalemia
- Route: PO, IV
- AEs: hyperkalemia: N/V/D, GI cramping, bradycardia, cardiac arrest
