About
Increase in calcium, above normal levels.
Assess
Elevated serum calcium levels; elevated blood pressure and heart rate; kidney stones, GI discomfort including constipation, hypoactive bowel sounds; decreased deep tendon reflexes, muscle weakness, confusion, lethargy
Complications
Injury; blood clots; kidney stones; dysrhythmias; coma
Diagnosis
- Risk for injury related to risk for fractures
- Imbalanced nutrition: less than body requirements related to nausea, appetite loss, ileus
- Risk for decreased cardiac output related to tachy or bradycardia
Goals
- The client will have decreased calcium levels below 10.5 mg/dl ( 2.75mmol/L) ( may have different parameters for each clinical agency).
- The client will remain free from injury.
Interventions
- Monitor VS.
- Assess for adequate tissue perfusion, notify physician if cyanosis, pallor, or other indicators of tissue hypoxia.
- Monitor heart rhythm for dysrhythmias.
- Administer calcium chelators or calcitonin, bisphosphonates, NSAIDS, ASA, etc. as ordered.
- Administer IV fluids and oral fluids to maintain hydration.
- Maintain a safe environment; monitor for cognitive changes or musculoskeletal weakness associated with imbalance.
- Monitor for signs/ symptoms of complications.
ليست هناك تعليقات:
إرسال تعليق