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Potassium Imbalance
Potassium Imbalances
Question | Answer |
---|---|
Normal Potassium levels | 3.5-5 |
K+<3.5 mEq/L | Hypokalemia |
What causes Hypokalemia | Urinary loss(diuretics,diabetes) Abnormal losses from GI tract(vomiting, diarrhea) Alkalosis Malnutrition |
Signs and symptoms of Hypokalemia | Cardiac dysrhythmias Generalized muscle weakness Leg cramps, decreased reflexes Nausea, vomiting Lethargy Observe for s/s of toxicity, if client taking digitalis |
When do you not give oral supplements of K+ | When urinary output is >30cc/h |
Give examples of Oral K+ supplements | k-lyte, slow-k, k-dur, micro-k |
What are some treatment considerations for hypokalemia | K+ supplementation: Must be ingested daily Persistent k+ deficit may cause kidney&cardiac damage Do not supplement unless renal function is adequate |
Nursing Care for Hypokalemia | Prevention and K= replacement either PO or IV |
Hyperkalemia | >5.0 mEq/L |
What causes Hyperkalemia | Inadequate excretion of K+(renal disease/failure and the use of K+ Sparing diuretics) Excessively High intake of K+ Shift of K+ from ICF to ECF space(Severe infection) |
Signs & Symptoms of hyperkalemia | Cardiac dysrhythmias Diarrhea Abdominal cramping Anxiety, irritability muscle twitching, tremors Seizures |