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CLASSIFICATION
DOSAGE,
MECHANISM OF
& INDICATION
ROUTE,
ACTION
CONTRA-
SIDE EFFECTS
NURSING
RESPONSIBILITIES
INDICATION
FREQUENCY
Generic
Classication
10
Maintain acid-
Contraindicated
CNS: confusion,
name:
Therapeutic:
meqs/durule
base balance,
in:
restlessness,
isotonicity, and
Hyperkalemia;
weakness.
elec-
Severe renal
replacements/supp
trophysiologic
impairment;
lements
balance of the
Untreated
brand
cell.Activator in
Addisons
name:
many enzymatic
disease; Severe
reactions;
tissue trauma;
essential to
Hyperkalemic
transmis- sion of
familial periodic
nerve impulses;
contraction of
products may
potassium
chloride
mineral and
electrolyte
Treatment/preventi
on of potassium
depletion.
IV: Arrhythmias
1 durule 3x
day
Assessment
Assess for signs
and symptoms of
CV:
hypokalemia
ARRHYTHMIAS,
(weakness, fatigue, U
ECG changes.
wave on ECG,
GI: abdominal
arrhythmias,
pain, diarrhea,
polyuria, polydipsia)
atulence,
and hyperkalemia
nausea,
vomiting;
Overdose).
tablets, capsules
Monitor pulse,
due to digoxin
cardiac, skeletal,
contain
only, GI
toxicity.
and smooth
tartrazine (FDC
ulceration,
ECG periodically
muscle; gastric
stenotic lesions.
during IV therapy.
secretion; renal
alcohol; avoid
Local: irritation
function; tissue
using in patients
at IV site.
synthesis; and
with known
Neuro:
carbohydrate
hypersensitivity
paralysis,
metabolism.
or intoler- ance;
paresthesia.
Therapeutic
Potassium
Effects:
acetate injection
Replacement.
contains alumi-
Prevention of
deciency.
become toxic
with prolonged
use to high risk
groups (renal
Lab Test
Considerations:
Monitor serum
potassium before and
periodically during
therapy. Monitor
renal function, serum
bicarbonate, and
pH.Determine serum
magnesium level if
patient has refractory
hypokalemia;
hypomagnesemia
impairment, pre-
should be corrected
mature
to facilitate
neonates).
effectiveness of
potassium
replacement. Monitor serum chloride
because
hypochloremia may
occur if replacing
potassium without
con- current chloride.
Toxicity and
Overdose: Symptoms
of toxicity are those
of hyperkalemia
(slow, irregular
heartbeat; fatigue;
muscle weakness;
paresthesia;
confusion; dyspnea;
peaked T waves; depressed ST segments;
prolonged QT
segments; widened
QRS complexes; loss
of P waves; and
cardiac arrhythmias).
Treatment includes
discontinuation of
potassium,administr
ation of sodium
bicarbonate to
correct acidosis,
dextrose and insulin
to facilitate passage
of potassium into
cells, calcium salts to
reverse ECG effects
(in patients who are
not receiving
digoxin), sodium
polystyrene used as
an exchange resin,
and/or dialysis for
patient with impaired
renal function.