Question

2. List safe administer principles for IV potassium or the next several days the patient receives antibiotics (Vancom sed to Spironolactone and she continues to receive the same main potassium daily. Her nausea, vomiting, leg cramps, and irregula olved. Temp and BP are now within normal limits. However, for th urine output has been declining and is currently at <20 cc./hr. Then abdominal cramping, numbness/tingling sensations in her extremities, su has been experiencing diarrhea. In addition she has developed some irregularity. Lab values indicate BUN 60, Creatinine 2.1, K+ 5.8, Na 140 shows abnormalities (TQRS, IST, a few premature beats). (Vancomycin). The diuretle is same maintenance IV plus 40 aps, and irregular heart rate ever, for the past 24 hours, bet 20 ce./hr. The patient bow do extremities. She is irritable and oveloped some pulse slowing and 21. K+ 5.8, Na 140, C198. ECG 1. What fluid or electrolyte disturbance is of concern now for this patient? 2. Underline the signs/symptoms associated with this disturbance. 3. What do you suspect as the cause for this disturbance? 4. What are the treatment options for this situation? 5. What can happen if this disturbance is not treated and worsens? 6 What are your primary nursing responsibilities for this client

Answer 1

1.Ans : The electrolyte disturbance of this patient is hyperkalemia

Reason: the patient is taking potassium sparing diuretic and potassium supplement.

2.Ans:signs and symptoms of hyperkalemia in this patient are :

• Urine output decreased steadily to less than 20cc/hr.
• c/o abdominal cramping, numbness / tingling sensation in her extremities.
• She is irritable and experiencing diarrhoea.
• Pulse slowing and irregularity.

3. Ans: The cause for the disturbance are:

• Decreased urine output
• Potassium sparing diuretic and potassium replacement therapy.

4.Ans: Limit potassium sources.

• Change diuretic.