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Potassium Chloride
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-Chloride required to correct hypochloremia that commonly accompanies potassium deficiency
-Use with potassium-sparing diuretics or ACE inhibitors or angiotensin II receptor antagonists may lead to hyperkalemia -You should not use potassium chloride if you have kidney failure, Addison's disease, severe burns or other tissue injury, if you are dehydrated, if you take certain diuretics, or if you have high levels of potassium in your blood -*Digoxin (digitalis, Lanoxin) affects the use of potassium • Classification mineral and electrolyte replacements/supplements • Intended actions/uses/indications Muscle contraction Transmission of nerve impulses *Regulation of heartbeats (the pacemaker function of the heart) Gastric secretion Renal function Tissue synthesis Carbohydrate metabolism • Side effects / Adverse effects CV: *arrhythmias GI: abdominal pain, diarrhea, flatulence, nausea, vomiting • Routes Oral / liquid / powder • Nursing implications/actions Assess for signs and symptoms of hypokalemia (weakness, fatigue, U wave on ECG, arrhythmias, polyuria, polydipsia) and hyperkalemia Toxicity and Overdose: Symptoms of toxicity are those of hyperkalemia (slow, irregular heartbeat; fatigue; muscle weakness; paresthesia; confusion; dyspnea; and cardiac arrhythmias) • Teaching GI irritation or ulceration may result from chewing enteric-coated tablets or insufficient dilution of liquid or powder forms Instruct patient to avoid salt substitutes or low-salt milk or food unless approved by health care professional. Advise patient regarding sources of dietary potassium *S/S of hypokalemia (hypotension, confusion, muscle weakness, cardiac dysrhythmias) |
