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NURS 1566 Clinical Form 3: Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Trade Classification Dose Route Time/frequency


Name Name mineral and electrolyte 20 mEq po BID
Potassium Kay Ciel replacements/supplements extend-tabs
chloride
Peak Onset Duration Normal dosage range
1-2 hr unknown unknown 20-40 mEq per day

Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
To supplement the potassium lost with loop and thiazide solutions
diuretics N/A
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Maintain acid-base balance, isotonicity, and Hyperkalemia
electrophysiologic balance of the cell. Activator in many
enzymatic reactions; essential to transmission of nerve Common side effects
impulses; contraction of cardiac, skeletal, and smooth abdominal pain, diarrhea, flatulence, nausea, vomiting
muscle; gastric secretion; renal function; tissue synthesis;
and carbohydrate metabolism. indicated to replace
potassium lost from potassium-wasting diuretic (HCTZ)

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) Monitor serum potassium, renal function, bicarbonate
and pH
none Be sure to teach the patient the following about this
medication
Explain to patient purpose of the medication and the need to take as
directed, especially when concurrent digoxin or diuretics are taken.
Instruct patient to avoid salt substitutes or low-salt milk or food
unless approved by health care professional. Patient should be
advised to read all labels to prevent excess potassium intake.
Advise patient regarding sources of dietary potassium. Encourage
compliance with recommended diet. Instruct patient to report dark,
tarry, or bloody stools; weakness; unusual fatigue; or tingling of
extremities. Notify health care professional if nausea, vomiting,
diarrhea, or stomach discomfort persists. Dosage may require
adjustment. Emphasize the importance of regular follow-up exams
to monitor serum levels and
progress.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Check labs and for signs of hyperkalemia med? Prevention and
Potassium levels above 5 correction of
serum potassium
depletion