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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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GermanBiter14 GermanBiter14
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6 years ago
A renal failure patient with severe hyperkalemia (K+ level 7.2 mEq/L) has just been admitted to the nursing unit. Given the severity of this situation, the nurse should be prepared to administer which intravenous infusion stat?
 
  A)
  Lactated Ringer solution at 150 mL/hour to maintain blood glucose levels
  B)
  Regular insulin infusion, rate dependent on lab values
  C)
  Infusion of Solu-Medrol to decrease irritation to the intravascular system
  D)
  Dilaudid via patient-controlled device (PCA) to control pain
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wrote...
#1
6 years ago
Ans:
B

Feedback:

The administration of sodium bicarbonate, -adrenergic agonists, or insulin distributes potassium into the ICF compartment and rapidly decreases the ECF concentration. Lactated Ringer solution, steroids, or narcotics will not help to lower potassium levels.
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