Question

1.1.. A patient has just received an administration of an intravenous potassium too rapidly.

a..Develop one care plan for this case study.. It should contain a NANDA nursing diagnosis, one goal, and at least four nursing interventions. Nursing interventions are not doctor’s orders.

Answer 1

Nursing diagnosis :-

Risk for electrolyte imbalance

Goal :-

Patient will sustain normal serum electrolyte balance as evidenced by potassium level of 3.5 to 5.1 mEq / L

Nursing interventions :-

Monitor intake and output closely. If urine output starts to decrease, notify doctor immediately .

Closely monitor the patient for any EKG changes , muscle weakness, hyperreflexia

After the administration of potassium, serum potassium must be obtained within 30 - 60 minutes and do not repeat until the result is obtained from lab and the physician is notified.  

Document on appropriate medication record.