Question

The nurse notifies the health care prescriber of a client's serum potassium level of 6.2 meq/l (6.2 mmol/l). which prescription will the nurse consider as having the first priority?

Answer 1

Placing the patient on a cardiac monitor.

Blood potassium levels should range between 3.5 and 5.0 milliEquivalents per liter (mEq/L). Potassium concentrations between 5.1 and 6.0 mEq/L are regarded as moderate hyperkalemia. Potassium concentrations between 6.1 and 7.0 mEq/L indicate mild hyperkalemia, whereas concentrations over 7 mEq/L indicate severe hyperkalemia.

If drugs are the cause of the hyperkalemia, treatment options include stopping or changing them. In an emergency, intravenous infusions of glucose and insulin can assist transfer potassium back into body cells, and sodium bicarbonate injections can also be used to encourage potassium migration into cells and lower blood levels. In extreme situations, potassium can be removed from the body via dialysis.

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