NCP Hypokalemia

Assessment Subjective cues: According to the grandson: “Ang laki ng  pinayat ni lola, lalo na nung una niyang naexperience  yang sakit na  yan last  month. Simula nun nawawalan na siya ng gana kumain, tsaka ngbawas talga  yung food intake niya.”  Objective cues: -weight loss (approximatel y 2-4 kg) -weakness of  muscles -pale mucous membrane - electrolyte imbalance (Hypokalemia)

Background knowledge Some symptoms of  hypokalemia are directly related to its underlying cause. For example, vomiting and increased urination can cause the disorder and also indicate that it is present. The patient may exhibit a lack of  appetite and weight loss associated with the vomiting, therefore causing dietary potassium deficiencies. (Medical surgical Nursing pp. 904)

Nursing Diagnosis Imbalanced Nutrition: less than body requirements related to inability to ingest food as evidenced by weight loss and poor appetite

Goals and objectives Goal: Within 8 hours of duty, the patient and the family will gain knowledge on how to manage the client’s condition resulting to the improvement of  client’s nutritional status Objectives: • After 15 minutes, the nurse will able to assess the patient. • After 5 minutes, the client’s family will be assessed for their level of  understan ding After 30min, the client together with the family will gain knowledg e on how •

Nursing Intervention Assess the patient •

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Monitor client’s vital signs

Assess the level of  understa nding of  the client and the family

Educate the patient about the disease, Hypokale mia since it is

Rationale •

 To assess the causative/ contributi ng factors. (Nurse’s  pocket  guide by  Doenges  pp.410)

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Changes in client’s vital signs may indicateco mplication. (Nurse’s  pocket  guide by  Doenges  pp.410)

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 To have a baseline data in performing health teaching(N teaching (N urse’s  pocket  guide by  Doengespp .410 )

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 This will help the client and the family understan d the client’s

Evaluation