Other: Kayexalate, Potassium Chloride, magnesium sulfate, iron

Kayexalate action

binds to potassium ions in the GI tract and removes them from the body through the stool

Kayexalate indication

hyperkalemia

Kayexalate key s/e

nausea and constipation; fatal intestinal necrosis; serious electrolyte imbalances

Kayexalate nursing considerations

pt safety, monitor electrolytes and bowel function, manage potential adverse effects

Kayexalate data needed to give drug

potassium level, pt age and weight, route of admin, bowel function and hx

Potassium chloride action

replaces potassium and maintains potassium level

Potassium chloride indication

prevents hypokalemia

Potassium chloride key s/e

• arrhythmias

• HF

• heart block

• cardiac arrest

• hyperkalemia

• metabolic acidosis

Potassium chloride nursing considerations

• be aware of GI lesions

• monitor for hyperkalemia

• monitor continuous tele and electrolyte levels

Potassium chloride data needed to give drug

• may increase potassium and chloride levels

• may decrease sodium levels

Magnesium sulfate action

replaces magnesium and maintains magnesium level; anticonvulsant

Magnesium sulfate indication

hypomagnesemia

Magnesium sulfate key s/e

CNS depresion, hypocalcemia, pulmonary edema, arrhythmias, hypotension

Magnesium sulfate nursing considerations

• keep IV calcium available to reverse magnesium intoxication

• monitor for magnesium toxicity: RESP DEPRESSION, AKI, PULMONARY EDEMA

• monitor fluid intake and output

• monitor kidney function

Magnesium sulfate data needed to give drug

monitor calcium and magnesium level

Iron action

provides elemental iron, an essential component of Hb formation

Iron indication

iron deficiency anemia, iron replacement for blood loss

Iron key s/e

bradycardia, cardiac arrest, seizures, resp depression, bronchospasms, delayed sensitivity reactions, anaphylaxis

Iron nursing considerations

BOXED WARNING

Iron data needed to be given

Monitor Hb level, Hct, and reticulocyte count