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1www.nrsng.com© NRSNG, LLC. All rights reserved.
POTASSIUM - K+
Hypokalemia & Hyperkalemia
2www.nrsng.com© NRSNG, LLC. All rights reserved.
POTASSIUM
● NORMAL RANGE:
○ 3.5 - 5.0 mEq/L
● MAIN FUNCTIONS:
○ Most abundant intracellular cation
○ Transmission of electrical impulses
○ Acid-base balance
3www.nrsng.com© NRSNG, LLC. All rights reserved.
HYPOKALEMIA - CAUSES
Less than 3.5 mEq/L
Alkalosis
Vomiting / Diarrhea
Diuretics
↑ Adrenal Activity
Excess Insulin
4www.nrsng.com© NRSNG, LLC. All rights reserved.
HYPOKALEMIA - SYMPTOMS
● Resp → Shallow
● Musculoskeletal → hyporeflexive
● Cardiovascular → Weak pulse, dysrhythmias
● Neuro → AMS, ↓ LOC
● GI → hypoactive
5www.nrsng.com© NRSNG, LLC. All rights reserved.
HYPOKALEMIA - TREATMENT
Replace Potassium SLOWLY
Cardiac & Respiratory Monitoring
Potassium Sparing Diuretics
Treat Cause / Prevent more loss
Potassium Rich Foods
6www.nrsng.com© NRSNG, LLC. All rights reserved.
HYPERKALEMIA - CAUSES
Greater than 5.0 mEq/L
Acidosis
Diabetes - DKA
Burns / Tissue Injury
Dehydration / Infection
Renal Failure
↓ Adrenal Activity
7www.nrsng.com© NRSNG, LLC. All rights reserved.
HYPERKALEMIA - SYMPTOMS
● Cardiovascular → ↓HR, ↓ BP
● EKG Changes → dysrhythmias
● Neuromuscular → twitching
● GI → hyperactive
8www.nrsng.com© NRSNG, LLC. All rights reserved.
HYPERKALEMIA - TREATMENT
Cardiac Monitoring
Potassium Restricted Diet
Dialysis
Potassium Decreasing Meds
9www.nrsng.com© NRSNG, LLC. All rights reserved.
KEY POINTS
Normal Value 3.5 - 5.0 mEq/L
Main Functions Electrical Impulse, Acid-Base Balance, Intracellular
Hypokalemia Less than 3.5 mEq/L, think “hypoactive”, Replace
Hyperkalemia Greater than 5.0 mEq/L, think “hyperactive”, Restrict/Reduce
Top Priorities Treat the cause, Protect the HEART!
01
02
03
04
05
10www.nrsng.com© NRSNG, LLC. All rights reserved.
HAPPY
NURSING!!

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Potassium (Hyperkalemia & Hypokalemia) Fluid and Electrolytes

  • 1. 1www.nrsng.com© NRSNG, LLC. All rights reserved. POTASSIUM - K+ Hypokalemia & Hyperkalemia
  • 2. 2www.nrsng.com© NRSNG, LLC. All rights reserved. POTASSIUM ● NORMAL RANGE: ○ 3.5 - 5.0 mEq/L ● MAIN FUNCTIONS: ○ Most abundant intracellular cation ○ Transmission of electrical impulses ○ Acid-base balance
  • 3. 3www.nrsng.com© NRSNG, LLC. All rights reserved. HYPOKALEMIA - CAUSES Less than 3.5 mEq/L Alkalosis Vomiting / Diarrhea Diuretics ↑ Adrenal Activity Excess Insulin
  • 4. 4www.nrsng.com© NRSNG, LLC. All rights reserved. HYPOKALEMIA - SYMPTOMS ● Resp → Shallow ● Musculoskeletal → hyporeflexive ● Cardiovascular → Weak pulse, dysrhythmias ● Neuro → AMS, ↓ LOC ● GI → hypoactive
  • 5. 5www.nrsng.com© NRSNG, LLC. All rights reserved. HYPOKALEMIA - TREATMENT Replace Potassium SLOWLY Cardiac & Respiratory Monitoring Potassium Sparing Diuretics Treat Cause / Prevent more loss Potassium Rich Foods
  • 6. 6www.nrsng.com© NRSNG, LLC. All rights reserved. HYPERKALEMIA - CAUSES Greater than 5.0 mEq/L Acidosis Diabetes - DKA Burns / Tissue Injury Dehydration / Infection Renal Failure ↓ Adrenal Activity
  • 7. 7www.nrsng.com© NRSNG, LLC. All rights reserved. HYPERKALEMIA - SYMPTOMS ● Cardiovascular → ↓HR, ↓ BP ● EKG Changes → dysrhythmias ● Neuromuscular → twitching ● GI → hyperactive
  • 8. 8www.nrsng.com© NRSNG, LLC. All rights reserved. HYPERKALEMIA - TREATMENT Cardiac Monitoring Potassium Restricted Diet Dialysis Potassium Decreasing Meds
  • 9. 9www.nrsng.com© NRSNG, LLC. All rights reserved. KEY POINTS Normal Value 3.5 - 5.0 mEq/L Main Functions Electrical Impulse, Acid-Base Balance, Intracellular Hypokalemia Less than 3.5 mEq/L, think “hypoactive”, Replace Hyperkalemia Greater than 5.0 mEq/L, think “hyperactive”, Restrict/Reduce Top Priorities Treat the cause, Protect the HEART! 01 02 03 04 05
  • 10. 10www.nrsng.com© NRSNG, LLC. All rights reserved. HAPPY NURSING!!