Name of Student: Rene John G.

Francisco Year, Section, and Group: BN4-A; Group 2 Date: January 30, 2013

Name of Patient: Villegas, Freddie Age: 70 years old Sex: Male

Chief Complaints: Left Lateral Neck Mass Final Diagnosis: Lateral Neck Mass probably Malignant

Drug Study (Potassium Chloride)

Name Dosage/ Mechanism of Indication Contraindications Adverse Reactions Nursing Responsibilities

Route/Freq Action
uency
Generic Name: Dosage: Principal Prevention Contraindicated with  CV: Arrhythmias, Heart Assessment
Potassium Chloride 10 mEq x intracellular cation and allergy to tartrazine, block, Hypotension,  History: Allergy to tartrazine, aspirin; severe
20 cycles of most body tissues, correction aspirin (tartrazine is Cardiac arrest, renal impairment; untreated Addison’s disease;
Trade name: (IV participates in a of found in some Hyperkalemia, hyperkalemia; adynamia episodica hereditaria;
Kalium Durule solution) number of potassium preparations  Respiratory: acute dehydration; heat cramps, GI disorders
physiology deficiency marketed as Kaon-Cl, Respiratory paralysis that cause delay in passage in the GI tract,
Classification: process— Klor-Con); severe  Dermatologic: Rash cardiac disorders, lactation
Electrolytes maintaining renal impairment  GI: Nausea, vomiting,
Frequency: intracellular tonicity, with oliguria, anuria, diarrhea, abdominal  Physical: Skin color, lesions, turgor; injection
Sources: IV solution transmission of azotemia; untreated discomfort, GI obstruction, sites; P, baseline ECG; bowel sounds,
o Nursing 2007 Drug administere nerve impulses, Addison’s disease; GI bleeding, GI ulceration abdominal examination; urinary output; serum
Handbook 27th d as a contraction of hyperkalemia; or perforation electrolytes, serum bicarbonate
Edition, Lippincot continuous cardiac, skeletal, and adynamia episodica  Hematologic:
Williams & Wilkins IV infusion smooth muscle, hereditaria; acute Hyperkalemia—increased Interventions
o Nurseslabs.com maintenance of dehydration; heat serum K+, EFG changes  Arrange for serial potassium levels before and
Kalium Durule normal renal cramps; GI disorders (peaking of T waves, loss during therapy
(Potassium Route: function; also plays that delay passage in of P wavs, depression of ST  Caution patient that expanded wax matrix
Chloride) Drug IVTT a role in the GI tract. segment, prolongation of capsules will be found in the stool
Study http:// carbohydrate QT interval)  Report tingling of the hands or feet, unusual
nurseslabs.com/kali metabolism and Use cautiously with  Local: Tissue sloughing, tiredness or weakness, feeling of heaviness in
um-durule- various enzymatic cardiac disorders, local necrosis, local the legs, severe nausea, and vomiting,
potassium-chloride- reactions especially if treated phlebitis, and venospasm abdominal pain, black or tarry stools.
drug-study/#_ with digitalis with injection  Monitor cardiac rhythm carefully during IV
administration