Guest guest Posted July 9, 2002 Report Share Posted July 9, 2002 Ok bear with me as I'm on a mission on this one . Remember I'm a student. Here is my thinking on this...... 1. Hypokalemia : An abnormally low concentration of potassium in the blood. 2. The symbol for the element potassium is " K " . 3. The treatment for this condition is IV potassium replacement administered slowly with a volumetric device if the concentration exceeds 40 mEg/liter. 4. Is it possible you're hearing " two K liters p.o. potassium chloride 20 mEq for her hypokalemia " ? The info below my sig line came from RX List from a search on hypokalemia. Robyn/NM?Student NURSING-IMP: Potassium and other electrolyte levels are monitored frequently during replacement therapy to avoid overcorrection leading to hyperkalemia. Fluid balance is monitored. A physician must be notified if the patient's urine output is less than 600 ml/day, because 80-90% of potassium is excreted through the kidneys. Cardiac rhythm is monitored, and arrhythmias are reported immediately. Additional care is taken if the patient takes a cardiac glycoside because hypokalemia enhances its action. The patient is assessed for indications of digitalis toxicity. Other signs to watch for include decreased bowel sounds, abdominal distention, and constipation. Prescribed IV potassium replacement is administered slowly with a volumetric device if the concentration exceeds 40 mEg/liter. The rate should not exceed 200-250 mEg/24 hours, and the drug should never be given as a bolus because it may precipitate cardiac arrest. If the patient is prescribed a liquid oral potassium supplement, he or she is advised to dilute it in a full glass of water or fruit juice and to sip it slowly to prevent gastric irritation. Safety measures are implemented for the patient experiencing muscle weakness due to postural hypotension. The importance of taking potassium supplements as prescribed is emphasized, particularly if the patient also is prescribed a diuretic or digitalis preparation. The patient is taught signs of potassium imbalance to report, including weakness and pulse irregularities. K-rider? Hi y'all: This is ringing a BIG bell, but I can't zero in on it in this OLD brain. Treatment included continuous blood glucose monitoring, as well as electrolyte balancing. The patient received two s/l [k-riders or k-righters] and p.o. potassium chloride 20 mEq for her hypokalemia, and was later stabilized. Thanks in advance for any help. Jayni Quote Link to comment Share on other sites More sharing options...
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