Nursing Care Plan Risk For Electrolyte Imbalance
Nursing Care Plan Risk For Electrolyte Imbalance Definition:At risk for change in serum electrolyte levels that may compromise health It may be “shocking” to learn that your body conducts electricity. Salts in your body, known as electrolytes, are ionic compounds that, in water, break down into positive and negative charges and help conduct electrical activities in your body. These activities are essential for muscle coordination, heart function, fluid absorption and excretion and nerve function. Often, people lose electrolytes through perspiration, illness, medications or other causes, resulting in an imbalance which, in turn, can cause serious health problems. The kidneys and one’s diet can help regulate and restore proper balance in healthy individuals, although other interventions may also be required.Nursing Care Plan Risk For Electrolyte Imbalance
- Fluid imbalance (e.g., dehydra-
- Renal dysfunction tion, water intoxication)
- Endocrine dysfunction
- Treatment-related side effects
- Impaired regulatory mechanisms
- (e.g., medications, drains)
- (e.g., diabetes insipidus, syn- Diarrhea
Drome Of Inappropriate
- antiduretic hormone (SIADH))
- Fluid and electrolytes
- Physical regulation
Expected Outcomes ThePatient
- Maintain electrolyte levels within the normal limits.
- Maintain adequate ﬂuid balance consistent with underlying disease
- Identify health situations that increase risk for electrolyte imbalance and verbalize interventions to promote balance.
- Verbalize signs and symptoms that require immediate intervention by healthcare provider.
- Remain safe from injury associated with electrolyte imbalance.
Suggested Noc Outcomesa
Electrolyte & Acid–Base Balance, Fluid Balance
Interventions And Rationales
Determine: Assess patient’s ﬂuid status. Patients who demonstrate ﬂuid volume alterations are likely to have electrolyte alterations as well. Monitor patient for physical signs of electrolyte imbalance. Many cardiac, neurological, and musculoskeletal symptoms are indicative of speciﬁc electrolyte abnormalities. Perform: Collect and evaluate serum electrolyte results as ordered to allow for prompt diagnosis and treatment of any abnormalities. Treat underlying medical condition. Correction of the underlying cause of electrolyte imbalance is the ﬁrst step in correcting electrolyte imbalance. Inform: Educate patient and family regarding risks for electrolyte dis- turbances associated with their particular medical condition and pos- sible interventions if symptoms occur. Early identiﬁcation and inter- vention may prevent life-threatening complications of electrolyte imbalance. 119 Attend: Provide support and encouragement to patient and family in their efforts to participate in the management of the condition. Pos- itive feedback will increase self-conﬁdence and feeling of partnership in care. Manage: Coordinate care with other members of the healthcare team to provide safe environment. Electrolyte imbalances can cause poor coordination, weakness, and altered gait.
Suggested Nic Interventions
Electrolyte Management, Electrolyte Monitoring, Fluid–Electrolyte Management
Noble, K. A. (2008). Fluid and electrolyte imbalance: A bridge over troubled water. Journal of Perianesthesia Nursing, 23, 267–272.