vSim Clinical Packet Rashid Ahmed. Complete Case Study.DESCRIBE DISEASE PROCESS AFFECTING PATIENT
(INCLUDE PATHOPHYSIOLOGY OF DISEASE
... [Show More] PROCESS)
Hypokalemia is decrease in plasma potassium levels below 3.5 mEq/L (3.5 mmol/L). Because of transcellular shifts,
temporary changes in plasma potassium may occur as the result of movement between the intracellular fluid and
extracellular fluid compartments. Causes acid- base imbalance and excessive GI or urinary losses such as from vomiting,
diarrhea, dehydration and anorexia.
Dehydration happens when lose too much fluid and water from the body. The body needs water and other elements called
electrolytes. The right amount of both of these for the body to be able to work normally. The lose some fluids each day
happens through sweat, urine, bowel movements, and breathing. If the water is not replaced will lead to dehydrated, this
may be a serious health problem.
DIAGNOSTIC TESTS
(REASON FOR TEST AND RESULTS)
PATIENT INFORMATION ANTICIPATED PHYSICAL FINDINGS
ANTICIPATED NURSING INTERVENTIONS
Potassium level (serum) is less
than 3.5 mEq/L.
Arterial blood gas analysis shows
elevated bicarbonate and pH
levels. Serum glucose level is
slpossightly elevated.
Potassium level (urine) below 20
mEq/L suggests poor intake,
intracellular shifting, or GI loss
Hyporeflexia (See Clinical
effects of hypokalemia.)
Weak, irregular pulse
Tachycardia, tachypnea
Hyporeflexia
Weak, irregular pulse
Tachycardia, tachypnea
Mr. Rashid had developed
abdominal cramping,
nausea, vomiting, and
severe diarrhea after eating
lunch at a local restaurant.
Admitted to the ED with a
diagnosis with dehydration
and hypokalemia. Reported
dizziness, weakness, and
continued nausea.
Wash hands, introduce self, and identify patient
Obtain vital signs, including asking about allergies and pain level assessment
Check the provider’s order in the electronic health records (EHR)
Asked if the patient was allergic to anything
Implement safety measures, educated activities, safety and fall risk
Provide high-potassium foods
Educated about intake and output
Educated about dehydration
Obtain specimens for laboratory testing, including frequent serum potassium levels [Show Less]