Hyperkalemia is an elevated level of potassium in the blood. Dietary intake is the
main source of potassium. Patients are at risk for hyperkalemia when there is exces-
sive ingestion of potassium-rich foods or salt substitutes, they are on medications
that cause potassium retention (ACE inhibitors, angiotensin receptor blockers,
potassium-sparing diuretics such as amiloride or spironolactone, NSAIDs, tri-
methoprim, pentamidine), or there is excess release of potassium from the cells
(hemolysis, acidosis, low insulin levels, beta blocker use, digoxin overdose,
succinylcholine, or rhabdomyolysis).
PROGNOSIS
As potassium levels rise, the risk of cardiac arrhythmias also increases. An extreme
elevation creates a medical emergency. Correction or management of the underly-
ing cause is necessary to help restore the electrolyte balance.
SIGNS AND SYMPTOMS
• Weakness and dizziness due to neuromuscular changes
• Abdominal distention
• Nausea, vomiting, diarrhea due to change in membrane potential on GI system
• Palpitations due to arrhythmias
• Arrhythmias due to changes in normal cardiac conduction
• Cardiac arrest
TREATMENT
The treatment choices will depend on the severity of the potassium elevation.
Decreasing further intake, enhancing renal excretion, and cellular uptake are all
goals of treatment.
• Monitor cardiac rhythm.
• Administer intravenous insulin and glucose to move potassium from extra-
cellular fluid to intracellular fluid.
• Administer calcium gluconate intravenously.
• Administer NaHCO3 to move potassium from extracellular fluid to intracel-
lular fluid.
• Administer diuretics to remove potassium from body.
• Administer kayexalate to remove potassium from body via GI tract.
• Monitor electrolyte levels.
• Restrict potassium intake.
• Dialysis for severe elevations.
NURSING DIAGNOSIS
• Decreased cardiac output
• Risk for imbalanced fluid volume
• Activity intolerance
• Altered bowel elimination
NURSING INTERVENTIONS
• Monitor vital signs.
• Monitor cardiac rhythm.
• Monitor cardiovascular status for regularity of rhythm, rate, heart sounds, and
peripheral pulses.
• Monitor abdomen for bowel sounds, distention, and pain.
• Monitor intravenous site for redness, swelling, and pain.
• Teach patient about medications and diet:
• Avoid foods that are high in potassium.
• Avoid salt substitutes (most are potassium-based).
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ReplyDeletehpv by using a man called Dr. Emmanuel
MY NAME IS CELINA .I SAW A COMMENT ON ACNE
BLOGS AND I WILL LOVE TO TELL EVERY BODY HOW I WAS
CURED!,
AND AM NOW A LIVING WITNESS OF IT AND I THINK ITS A
SHAME ON ME IF I DON'T SHARE THIS LOVELY STORY WITH
OTHER PEOPLE INFECTED WITH THIS DEADLY VIRUS.
HPV HAS BEEN ONGOING IN MY FAMILY, I LOST BOTH
PARENTS TO HPV. AND IT IS SO MUCH PAIN I'VE NOT
BEEN ABLE TO GET OVER..
AS WE ALL KNOW MEDICALLY THERE IS NO SOLUTION TO
IT..AND MEDICATION IS VERY EXPENSIVE..SO SOMEONE
INTRODUCED ME TO A HERBAL PRACTITIONER IN AFRICA..
I HAD A JOB THERE TO EXECUTE SO I TOOK TIME TO CHECK
OUT ON HIM.I SHOWED HIM ALL MY TESTS AND RESULTS..
I WAS ALREADY DISORGANIZED WITH HERPES AND IT WAS
ALREADY TAKING ITS TOWEL ON ME..
I HAD SPENT THOUSANDS OF DOLLARS SO I DECIDED TO
TRY HIM OUT ALTHOUGH I DIDN'T BELIEVE IN IT,
I WAS JUST TRYING IT OUT OF FRUSTRATION? AND AFTER 2
DAYS, HE SENT ME THE PORTION ND I USED IT AND WAS
CURED.
AND YOU WON'T BELIEVE THAT 5 DIFFERENT DOCTORS
CONFIRMED IT THAT AM CURED ..IT WAS LIKE A DREAM,,I
NEVER BELIEVE ACNE HAS CURE..AM NOW CURED,,
AM A LIVING WITNESS..I DON'T KNOW HOW TO THANK THIS
MAN? I JUST WANT TO HELP OTHERS IN ANY WAY I CAN..
I HAVE JOINED MANY FORUMS AND HAVE POSTED THIS
TESTIMONIES AND A LOT OF PEOPLE HAS MAIL AND CALLED
THIS MAN ON PHONE AND AFTER THEY ALL CONFIRMED
CURED.
BBC NEWS TOOK IT LIVE AND EVERY EVERYBODY SAW IT
AND ITS NOW OUT IN PAPERS AND MAGAZINES THAT
THERE IS A HERBAL CURE FOR HPV AND ALL WITH THE
HELP OF THIS MAN,,
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MY BEST. ABOUT 28 PEOPLE HAVE BEEN CONFIRMED
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AND THEY SEND MAILS TO THANKS ME AFTER THEY HAVE
BEEN CONFIRMED CURED,THIS MAN IS REAL..DON'T MISS
THIS CHANCE,,ACNE IS A DEADLY VIRUS,,GET RID OF IT
NOW..
If there is anyone who has similar problem and still
looking for a way out, his email still remains
nativehealthclinic@gmail.com or WhatsApp/Call him on
+2348140073965 ..
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