Primary Nursing Diagnosis

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Altered nutrition: Less than body requirements related to alcoholism, dietary changes, GI abnormalities

OUTCOMES. Nutritional status; Nutritional status: Nutrient intake; Electrolyte and acid-base balance; Cardiac pump effectiveness; Knowledge: Medication and treatment procedures

INTERVENTIONS. Electrolyte management: Hypophosphatemia; Nutrition management; Nutrition monitoring; Vital signs monitoring; Medication management; Venous access devices maintenance; Teaching: Individual

H PLANNING AND IMPLEMENTATION Collaborative

The most important goals are to replace the phosphorus and to correct the underlying cause of the phosphorus deficit. Phosphorus is replaced either by dietary intake or by oral administration of phosphate salt tablets or capsules. If hyperphosphatemia inadvertently occurs, hypocalcemia is also likely. Assess for tetany, and be sure that the patient has an open airway, adequate breathing, normal circulation, and an adequate urine output. Routine serum phosphate and calcium levels are ordered to determine the effectiveness of the replacement. Monitor the IV site for infiltration because potassium phosphate can cause tissue sloughing and necrosis.

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