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Additional resources for Ask a Colleague: Expert Nurses Answer More Than 1,000 Complex Clinical Questions
The insulin causes the potassium to shift into the cells, decreasing serum potassium levels. The dextrose prevents hypoglycemia. Finally, if the hyperkalemia is related to renal failure, dialysis should be considered. 5 mEq/L. What's the usual treatment for hyperkalemia? V. V. fluids and includes some of the clinical uses and special considerations associated with their use. Solutions Uses Special considerations Isotonic • Solution is isotonic Dextrose 5% in water • Fluid loss and dehydration • Hypernatremia initially; becomes hypotonic when dextrose is metabolized.
Insensible perspiration from the respiratory tract and skin accounts for the remaining 700 ml of fluid loss. An illness or condition that prevents normal fluid 32 33 intake requires fluid replacement. ) During fluid replacement, how much fluid do I give? 5 to 1 mEq/kg • chloride: 1 to 2 mEq/kg. Various parenteral solutions are available to meet the individual needs of the patient. V. V. fluids? Hyperkalemia can be treated with sodium polystyrene sulfonate (Kayexalate) administered orally or as a retention enema.
The patient may experience hyperactive reflexes and numbness and tingling of the fingers, toes, and mouth. Apathy and confusion may occur and progress to seizures, stupor, and coma. Causes of metabolic alkalosis include excessive acid loss from the GI tract, diuretic therapy, and Cushing's disease. Why were seizure precautions instituted for my patient with metabolic alkalosis? The kidneys play a major role in regulating fluid, electrolytes, acids, and bases. 45 hypermagnesemia, and metabolic acidosis.