About
Increase in potassium, above normal levels.
Assess
Cardiac system; arrhythmias, irregular heart rate, serum potassium levels above 5.0 Meq/L; muscle twitches, weakness, numbness and tingling of hands and feet and sometimes around mouth; GI upset, diarrhea.
Complications
Injury; cardiac dysrhythmias, including cardiac arrest
Diagnosis
- Risk for decreased cardiac output related to dysrhythmias
- Activity intolerance related to muscle weakness
- Risk for injury related to possible numbness and tingling of hands and feet
Goals
- The client will remain free from injury.
- The client will have decreased potassium levels below 5.5 meq/L ( may have different parameters for each clinical agency).
Interventions
- Monitor electrolytes and VS frequently.
- Monitor for dysrhythmias.
- Institute fall precautions to prevent injury.
- Administer loop diuretics, kayexalate, fluids, etc. as ordered.
- Teach the client at risk of high potassium foods to avoid and signs and symptoms of excess potassium.
- Prepare for dialysis as indicated.
- Monitor for signs/ symptoms of complications.
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