NUR 372 Lecture Notes - Lecture 12: Parenteral Nutrition, Ileus, Altered Level Of Consciousness

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Hypokalemia: result of an increased loss of potassium from the body or movement of potassium into the cells, resulting in a blood potassium less than 3. 5meq/l, assessment, actual potassium deficits. Iv potassium supplementation: never administer by iv bolus (risk of death!!!, the maximum recommended rate is 10 meq/l with a concentration no more than. 1 meq of potassium per 10 ml of solution: assess for phlebitis. Hyperkalemia: result of increased intake of potassium, movement of potassium out of the cells or inadequate kidney excretion resulting in blood potassium greater than 5. 0 meq/l. Hypocalcemia: total blood calcium less than 9. 0 mg/dl, assessment, risk factors, actual calcium deficit. Inadequate intake of calcium, including lactose intolerance, malabsorption issues. Inadequate vitamin d intake: diarrhea or steatorrhea, end stage kidney disease, wound drainage, relative calcium deficit, conditions: alkalosis, acute pancreatitis, hyperproteinemia, hyperphosphatemia, immobility, treatments: calcium chelators, citrate, mithramycin, sodium cellulose phosphate, penicillamine, pamidronate.

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