What are some nursing interventions for hypokalemia?
What are some nursing interventions for hypokalemia?
Measures to identify and stop ongoing losses of potassium include the following:
- Discontinue diuretics/laxatives.
- Use potassium-sparing diuretics if diuretic therapy is required (eg, severe heart failure)
- Treat diarrhea or vomiting.
- Administer H2 blockers to patients receiving nasogastric suction.
What are three possible manifestations of hypokalemia?
Common symptoms include the following:
- Palpitations.
- Skeletal muscle weakness or cramping.
- Paralysis, paresthesias.
- Constipation.
- Nausea or vomiting.
- Abdominal cramping.
- Polyuria, nocturia, or polydipsia.
- Psychosis, delirium, or hallucinations.
Which is the mnemonic for hypokalemia signs and symptoms?
Mnemonic for Hypokalemia signs and symptoms A PINK SUCTION A in A PINK SUCTION for hypokalemia signs and symptoms Arrhythmias, irregular rate, tachycardia P in A PINK SUCTION for hypokalemia signs and symptoms Polyuria first I in A PINK SUCTION for hypokalemia signs and symptoms Irritability
What happens to the muscles in hypokalemia NCLEX?
Try to remember everything is going to be SLOW and LOW. Don’t forget potassium plays a role in muscle and nerve conduction so muscle systems are going to be messed up and effect the heart, GI, renal, and the breathing muscles for the lungs. Shallow respirations with diminished breath sounds….due to weakness of accessory muscle movement to breath)
When does hypokalemia occur with high potassium concentration?
In potassium deficit with high serum potassium concentration, as in diabetic ketoacidosis, IV potassium is deferred until the serum potassium starts to fall. When hypokalemia occurs with hypomagnesemia, both the potassium and magnesium deficiencies must be corrected to stop ongoing renal potassium wasting.
How much potassium chloride to give for hypokalemic arrhythmia?
Replace potassium orally, giving 20 to 80 mEq/day unless patients have ECG changes or severe symptoms. For hypokalemic arrhythmia, give IV potassium chloride through a central vein at a maximum of 40 mEq/h and only with continuous cardiac monitoring; routine IV infusion should be no more than 10 mEq/h.