a nurse is assessing a client who has hyperkalemia. which of the following findings This is a topic that many people are looking for. voteyesons.org is a channel providing useful information about learning, life, digital marketing and online courses …. it will help you have an overview and solid multi-faceted knowledge . Today, voteyesons.org would like to introduce to you Hyperkalemia- Causes, assessment and nursing interventions | Christina NP. Following along are instructions in the video below:
Everyone welcome to my channel today. Im going to discuss hyperkalemia. Im going going to include the causes assessment and nursing interventions.
My name is christina a nurse lets get started music so a normal potassium level is between. 35 to 50. For hyperkalemia.
The level is when it exceeds greater than 5 in a critical condition. It would be in the 6 range. So for the specimen that you receive from your patient.
If it seems like it could be falsely elevated lets say for. Example the potassium level previously 6 hours. Ago was 35.
You get it back and its 6. So you want to think review. The trends and you want to think if this is potentially falsely elevated consider redrawing especially in the absence of clinical symptoms.
So this is also referred to as pseudo hyperkalemia.
So what are some of those causes. What contributes to this medications. Medications.
Such as p o. Or iv. Potassium.
Salt. Substitutes. Or potassium sparing.
Diuretics. Such as a lactone. Some foods can also contribute to this as well such as if your patient is eating a whole.
Lot of spinach raisins cantaloupe. Bananas. Those are things you want to have a conversation with with your patient.
That has a high level of potassium now look at the picture.
That is shown here this explains. The pathophysiology of whats going on so. As you see there is an excess of movement of potassium from within the cell.
That is moving outside to the extracellular fluid. Which causes acidosis and tissue damage. Other contributing factors can be kidney disease.
As well as addisons which causes an adrenal insufficiency that relates in hyperkalemia. So some of the assessment findings that youre going to be looking for cardiovascular youre going to have a slow heart rate. You are going to have hypotension.
Which is low blood pressure. If you look to the site here on your ekg you may see peaked t waves. A pro long pr interval and a widened qrs in addition to that you want to look for pvcs.
So premature. Ventricular contractions. As well must go skeletal you have early n.
Late onset findings.
Your early findings would be your muscle. Twitches your late onset would be a profound weakness or paralysis. Which weakens your respiratory muscles that can result in respiratory failure for your gastrointestinal that would cause diarrhea and hyperactive bowel sounds so some of the interventions definitely as the rn you want to continue to monitor those labs and those trends especially if youre treating it so you dont want a way to hold 12 hours.
And then recheck later its something that you want to be diligent about and actively communicate the needs for your patient with your healthcare provider you want to make sure that the patient does not resume any potassium ingestion such as iv or pio make sure that theyre not taking any salt substitutes or any a lactone so treatment. How do you treat it so for the patient that has a normal renal function. You want to give them diuretics or you also in lieu of that insulin works great it helps shift the potassium thats on the extracellular fluid back into the cells.
Calcium is another medication. That is widely used. Which prevents lethal arrhythmias for the patient.
That has renal disease. You want to consider giving them. Kayexalate.
This helps with sodium absorption and potassium excretion for the critically elevated potassium. You also want to consider dialysis. Thank you so much for watching be sure to subscribe and hit that like button music.
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