Scribd Logo
Upload

Welcome to Scribd!

  • 9K views

    Hypokalemia NCP

    Uploaded by

    pauchanmnl
    The document describes a patient who presented with low potassium levels and muscle weakness. It outlines the patient's assessment, which found a potassium level of 2.3 and weakness in the lower extremities. The diagnosis was identified as risk for electrolyte imbalance related to excessive potassium loss. The care plan involves short term goals of preventing complications from the imbalance within 4-6 hours and long term goals of identifying risks to prevent future imbalances. Interventions include monitoring vital signs, strength, nutrition and providing potassium supplementation. After 6 hours the patient responded favorably with no complications.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Hypokalemia NCP

    Uploaded by

    pauchanmnl
    9K views4 pages
    The document describes a patient who presented with low potassium levels and muscle weakness. It outlines the patient's assessment, which found a potassium level of 2.3 and weakness in the lower extremities. The diagnosis was identified as risk for electrolyte imbalance related to excessive potassium loss. The care plan involves short term goals of preventing complications from the imbalance within 4-6 hours and long term goals of identifying risks to prevent future imbalances. Interventions include monitoring vital signs, strength, nutrition and providing potassium supplementation. After 6 hours the patient responded favorably with no complications.

    Original Description:

    ncp

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document describes a patient who presented with low potassium levels and muscle weakness. It outlines the patient's assessment, which found a potassium level of 2.3 and weakness in the lower extremities. The diagnosis was identified as risk for electrolyte imbalance related to excessive potassium loss. The care plan involves short term goals of preventing complications from the imbalance within 4-6 hours and long term goals of identifying risks to prevent future imbalances. Interventions include monitoring vital signs, strength, nutrition and providing potassium supplementation. After 6 hours the patient responded favorably with no complications.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    9K views4 pages

    Hypokalemia NCP

    Uploaded by

    pauchanmnl
    The document describes a patient who presented with low potassium levels and muscle weakness. It outlines the patient's assessment, which found a potassium level of 2.3 and weakness in the lower extremities. The diagnosis was identified as risk for electrolyte imbalance related to excessive potassium loss. The care plan involves short term goals of preventing complications from the imbalance within 4-6 hours and long term goals of identifying risks to prevent future imbalances. Interventions include monitoring vital signs, strength, nutrition and providing potassium supplementation. After 6 hours the patient responded favorably with no complications.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 4
    At a glance
    Powered by AI
    The key takeaways from the document are assessment, diagnosis, planning, interventions, rationale and evaluation for a patient with potential electrolyte imbalance. Some factors discussed are age, altered electrolyte balance, potassium imbalance, loss of fluids rich in electrolytes. Goals, signs/symptoms and interventions are also discussed.

    Some factors that can lead to electrolyte imbalance discussed in the document are age, altered electrolyte balance, processes that may lead to electrolyte imbalances like loss of fluids rich in electrolytes. Specifically potassium imbalance is mentioned as a cause for electrolyte imbalance.

    Signs and symptoms of electrolyte imbalance discussed in the document include muscle weakness, shallow respirations, facial grimace with movement, and oxygen saturation levels. The patient also reported difficulty moving and changing positions.

    Assessment

    S: Sabi ng doctor ko
    kelangan ko daw
    magpacheck up dito
    kasi daw mababa daw
    ung potassium ko sa
    dugo.

    O:
    Potassium level at 2.3
    Muscle weakness at
    lower extremities

    Diagnosis
    Risk for electrolyte
    imbalance related to
    excessive loss of
    potassium

    Planning
    Short Term Goal:
    After 4 6 hours of NI,
    patient will be free of
    complications resulting
    from electrolyte
    imbalance

    Interventions
    Independent
    Assess specific client
    risk

    Rationale

    Note clients age and


    developmental level

    Risk may increase with


    age group

    Long Term Goal:


    After 5 days of NI,
    patient will identify
    individual risks and
    engage in appropriate
    behaviors or lifestyle
    changes to prevent or
    reduce frequency of
    electrolyte imbalance

    Assess mental status

    Can be associated with


    altered electrolyte
    balance

    Monitor heart rate and


    rhythm

    Alterations can be
    associated with
    potassium imbalances
    (and other electrolytes)

    Auscultate breath
    sounds (assess rate,
    depth and ease)

    Hypokalemia can cause


    or exacerbate
    respiratory
    insufficiency

    Evaluate motor strength


    and function

    Provides clues to
    electrolyte imbalance

    To note processes that


    may lead to electrolyte
    imbalances

    Provide or recommend
    balanced nutrition.
    Monitor intake, weight
    and bowel function.

    Measure and report all


    fluid losses

    Loss of fluids rich in


    electrolytes can lead to
    imbalance

    Evaluation
    After 6 hours of NI,
    clients responses to NI
    were favorable and was
    free from complications

    Instruct client in
    reportable symptoms
    Dependent:
    Administer drugs as
    prescribed (Klyte)

    Collaborative:
    Consult with dietician
    or nutritionist for
    specific teaching needs
    (diet in K+)

    Assessment
    S: Nahihirapan ako
    gumalaw. Hirap ako sa
    position ko. Kahit
    anong position parang
    ang hirap.

    O:
    Patient has facial
    grimace whenever
    theres movement
    O2 Saturation at 95
    96%
    Shallow respirations
    Muscle weakness at
    lower extremities

    Diagnosis
    Risk for activity
    intolerance related to
    lower extremity
    muscle weakness

    Planning
    Short Term Goal:
    After 4 6 hours of NI,
    patient will
    demonstrate a decrease
    in physiological signs
    of intolerance
    (e.g., pulse,
    respirations, and blood
    pressure remain
    within
    clients normal range).
    Long Term Goal:
    After 5 days of NI,
    patient will report
    measurable increase in
    activity tolerance.

    Interventions
    Independent
    Note presence of factors
    contributing to fatigue
    Evaluate current
    limitations/degree of
    deficit in light of usual
    status.
    Assess
    cardiopulmonary
    response to physical
    activity, including vital
    signs before, during,
    and after activity.

    Assess
    emotional/psychologica
    l factors affecting the

    Rationale

    Provides comparative
    baseline

    Notes progression of
    intolerance

    Evaluation
    After 6 hours of NI,
    clients responses to NI
    were favorable and has
    attained favorable
    outcome to
    interventions

    current situation
    Monitor vital/cognitive
    signs

    To watch out for


    sudden changes

    To avoid overexertion
    Reduce intensity
    level or discontinue
    activities that cause
    undesired physiological
    changes
    Plan care with rest
    periods between
    activities to reduce
    fatigue
    Provide positive
    atmosphere, while
    acknowledging
    difficulty of the
    situation for the client.

    Help minimize
    frustration and manage
    or rechannel their
    energy

    Promote comfort
    measures and provide
    for relief of pain

    Dependent:
    Provide/monitor
    response medications
    and changes in
    treatment regimen.
    Collaborative:
    Provide referral to other
    disciplines as indicated

    To develop individually
    appropriate therapeutic
    regimens.

    (e.g., exercise
    physiologist,
    psychological
    counseling/therapy,
    occupational/
    physical therapists,
    and recreation/leisure
    specialists)

    You might also like