Students Name: Ramos, Shelly Mae A.

Date: January 31,

2012
Patients Initials: M.T.

NURSING CARE PLAN

ASSESSMENT DIAGNOSIS BACKGROU PLANNING INTERVENTIO RATIONALE EVALUATION

ND N
KNOWLEDG
E
INDEPENDENT
Subjective: Electrolyte One of the After 2-3 hours GOAL
imbalance bodys main of nursing >reviewed To serve as PARTIALLY
Di ako (K+) less electrolytes is intervention laboratory baseline data MET
nanghihina, than body the potassium the client will results of the
pero requirements (K). be able to: patients K+ After 2-3 hours
nahihirapan pa related to Electrolytes level Pulse rate and of nursing
rin akong inadequate/l in the body > Understand blood intervention
kumilos as oss of intake must be in the >monitored the pressure the patient
verbalized by secondary to equilibrium importance of patient vital changes
the client extreme for the proper K+ in the body Was able to
signs especially denotes great
vomiting physiologic the pulse rate significance in understand
Ojective: actions of the >Identify the
and the blood electrolyte
body. It is individual importance
pressure imbalances
>K+ level: 2.37 risks and of
necessary for
muscle engage in potassium
>Appears Weak >Encouraged To help
contraction appropriate in the body
the patient to patient
and therefore behaviors or Was able to
modify dietary replenish the
for lifestyle identify
intake to those lost K+ in a
movement. changes to individual
with high natural way
prevent risk.
potassium. Eg:
electrolyte Was not
bananas,
imbalance able to
avocados, etc.
adhere
>Adhere
Students Name: Ramos, Shelly Mae A. Date: January 31,
2012
Patients Initials: M.T.

NURSING CARE PLAN

>Noted clients
properly to the report of This may properly to
treatment weakness and reflect to the the
regimen fatigue K+ level in treatment
the patients regimen.
>Demonstrate >Adjusted body The patient
an increase to activities to was not
normal range prevent Reduce able to buy
of K+ overexertion intensity level the KCl
of activities prescribed.
that
contributes to
body
COLLABORATI weakness and
VE K+
>Administer consumption
Kalium Durule
500mg PO OD

To help
replenish the
lost
potassium.