About
Decreased phosphorus; less than 2.5mg/dL; Many contributing factors including alcohol withdrawal, alkalosis, DKA, fluid loss, malabsorption, hyperparathyroidism.
Assess
Bone pain, decreased tissue perfusion, seizures, muscle weakness, respiratory failure, chest pain, confusion
Complications
Infection, hyperglycemia, rhabdomyolysis, bleeding, respiratory arrest
Diagnosis
- Acute pain related to electrolyte imbalance.
- Risk for injury related to fluid/ electrolyte imbalance
- Risk for infection related to decreased body defenses.
Goals
- The client will remain free from injury.
- The client will have electrolytes within acceptable ranges.
- The client will state a decrease in pain less than 4 on a 0-10 scale.
- The client will remain free from infection.
Interventions
- Assess pain, vitals, orientation, CBC.
- Monitor for signs and symptoms of infection.
- Monitor for signs and symptoms of bleeding.
- Administer oral phosphorus as indicated, If administering IV solutions, do not exceed 10meq/hr and monitor site for phlebitis or tissue necrosis.
- Protect from injury, encourage use of call light, ambulate with assistance.
- Administer analgesics as ordered.
- Encourage intake of foods high in phosphorus such as milk products, whole grains, poultry, organ meat, nuts.
- Monitor phosphorus levels.
- Monitor for orientation and consciousness changes.
ليست هناك تعليقات:
إرسال تعليق