Chart Smart

If your patient has hypochloremia, make sure you document the following information:

• vital signs, including cardiac and respiratory rhythm
• intake and output
• serum electrolyte levels and ABG results
• your assessment, including LOC, seizure activity, and respiratory status
• time of notification of the practitioner
• IV therapy, along with other interventions, and the patient's response
• safety measures implemented
• patient teaching performed and the patient's response.