JUL, SITTI SHAWFFEEA K.

JUNE 14, 2023

BSN 1 – A NCM 203

NURSING CARE PLAN

` (HYPOKALEMIA)
ASSSSMENT PLANNING NSG INTERVENTION AND RATIONALE EVALUATION

Subjective Data: At the end of 8 hours nursing Independent Intervention: At the end of 8 hours nursing
intervention intervention
Client Verbalized:
> Monitor heart rate and rhythm by
“Amin ha school aku, > the client was able to verbalize
> the client will be able to palpation and auscultation.
bigla aku mang-lunuk.”
verbalize the absences of R: Tachycardia, bradycardia and other the absences of muscle pain and
Objective Data: muscle pain or cramping. dysrhythmias are associated with cramping.
potassium imbalance.
> Pain scale rated as > the client will rate the pain as > from rating the pain as 7/10,
7/10. 3/10 from being 7/10. > Include potassium in the diet. the client has shifted the rate
> Muscle pain R: Educate the patient on their into 3/10.
> Vomiting prescribed diet. Available in high
> the client will be able to
> Drowsiness potassium food such as bananas,
demonstrate potassium levels > the client has demonstrated
> Fatigue broccoli, and some fish.
within normal limits. potassium levels within normal
Nursing Diagnosis: > Monitor level of consciousness and limits.
(Acute pain) due to neuromuscular function, noting
changes in the regulation movement strength and sensation.
of potassium.
R: Tetany, paresthesia, apathy,
drowsiness, irritability, and coma may
occur.

> Maintain fluid balance.

R: To prevent dehydration and shift of
electrolytes.

> Monitor urine output.

R: In kidney failure, potassium is
retained because of improper excretion.

Dependent Intervention:

> Administer and prescribe potassium

medication with precautions.
R: To help prevent low potassium.

> Administer potassium supplements or

IV potassium replacement therapy as
ordered by the physician.
R: This intervention is necessary to
increase the overall level of potassium in
the patient's body.