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Fluid and Electrolytes
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Range of Potassium
3.5-5
This electrolyte imbalance is commonly caused by massive cell destruction (i.e. burns, crush injuries, tumor lysis) Fever and Sepsis
Hyperkalemia
Manifestations:
Leg weakness or paralysis
V Fib or cardiac standstill
Abdominal Cramping and Diarrhea
Hyperkalemia
Name some treatments of Hyperkalemia that ELIMINATE potassium
Diuretics
Dialysis
Kayexolate
Name some treatments of hyperkalemia that force potassium from the ICF to the ECF
Insulin
Sodium bicarbonate
How do you reverse the effects of hyperkalemia?
IV calcium gluconate
Which electrolye imbalance causes a tall T-wave?
Hyperkalemia
What are some common causes of hypokalemia?
Magnesium deficiency
Metabolic alkalosis
Treatment of DKA
Hyperaldosteronism
Skeletal muscle weakness, generally in the legs
Respiratory muscle weakness
Decreased GI mobility
Weak irregular pulse
Diaphoresis
Hypokalemia
How do you treat hypokalemia?
Oral or IV KCl supplements (IV administered slowly and skin assessed hourly)
An increase in digoxin toxicity occurs with which electrolyte imbalance?
Hypokalemia
What is the main cation in the ICF?
Potassium
What is the main cation of the ECF?
Sodium
This electrolyte is necessary for normal glycogen deposits in the liver and muscle and maintaing cardiac rhythm.
Potassium
Together, sodium and potassium are important for what function?
Nerve impulses in the smooth muscle
Names some dietary sources of potassium
bananas
dark green leafy veggies
raisins
potatoes
Which hormone stimulates release of potassium?
aldosterone
Hyperreflexia and areflexia are both signs associated with which electrolyte imbalance?
Hyperkalemia
ACE-inhibitors and NSAIDs use can cause what?
Hyperkalemia
These three electrolytes are similar and the levels should be checked together.
Mg, Ca, K
The level of Mg
1.5-2.5
Name some causes of Hypermagnesemia.
Most often seen in renal failure or too much intake of Mg
Also seen in DM and DKA
Signs and Symptoms
Lethargy/Drowsiness
Nausea/Vomiting
Impaired reflexes
Resp/Cardiac Arrest
Increased BP
Decreased RR and HR
Diaphoresis
Hypermagnesemia
How do you treat mild and severe hypermagnesemia?
Mild
: Administer fluids to promote excretion
Severe
: Administer IV calcium
This imbalance is commonly caused by:
Starvation
Alcoholism
Loop and Thiazide Diuretics
Malabsorption Disorders
Hypomagnesemia
S/S
Confusion/Depression
Hyperactive DTR
Nystagmus
Tremors
+Chvostek and Trousseaus
Difficulty swallowing
Hypomagnesemia
How do you treat mild and severe Hypomagnesemia?
Mild
: Oral supplements
Severe
: IV Magnesium Sulfate SLOWLY and NEVER bolus
Author
Samilou
ID
90098
Card Set
Fluid and Electrolytes
Description
F and E
Updated
2011-06-11T19:10:53Z
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