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Electrolyte Imbalance

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12 views2 pages

Electrolyte Imbalance

Uploaded by

maxjr4yan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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PATIENT CARE PLAN

STUDENT YUNEISY HERNANDEZ VERGARA DATE 03/11/2023


PATIENT AG SEX OTHER
INITIALS E MEDICAL DX
ADMITTING DATE
DX

NURSING DIAGNOSIS PATIENT- NURSING RATIONALE EVALUATION


(in priority order) CENTERED INTERVENTION
GOALS
Risk for injury The patient will Encourage frequent rest periods 1-Potassium excess depresses Labs show Potassium
Risk for fall demonstrate less assist with daily activities as myocardial conduction. level in normal
Self-care deficit impaired mental indicates. Bradycardia can progress to range. Normal ECG
Impaired mental status status and Monitor for altered mental status. cardiac fibrillation and arrest. result with no
disorientation Assist the client with ADLs 2-General muscle weakness abnormalities.
Subjective: Patient is within 1 week. decreases activity tolerance. Patient report
confused, disoriented, Patient will 3-Improves muscle tone and absence of fatigue.
and altered mental reduces muscle cramps Patient demonstrate
status. and pain. knowledge about
4-Reduces exogenous sources diet low in
Objective: Labs reflects of potassium and prevents potassium.
metabolic tissue breakdown
Self-care deficit related to with the release of cellular
disorientation. potassium. Facilitates the
Risk for injury related to reduction of potassium levels
altered mental status as and may prevent the
evidenced by impaired recurrence of hyperkalemia.
mental function. 5- The patient knowledge
Self-care deficit related to about the appropriate diet
impaired mental function low in potassium will prevent
evidenced by confusion new episodes of
and disorientation. hyperkalemia.
Risk for injury and or fall
related to altered mental
status as evidence by
disorientation.
Risk for infection
Risk for electrolyte
imbalance.

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