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Electrolytes
Test 7
22
Health Care
Post-Graduate
10/26/2008

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Cards

Term
sodium
Definition
account for 90% of ECF,attracts fluids,transmit impulses in nerve in muscle fibers
Term
normal range of sodium
Definition
135-145 mEq/L
Term
hyponatremia
Definition
<135 mEq/L
Term
hypernatremia
Definition
>145 mEq/L
Term
sources of sodium
Definition
salt,saline IVs,cheese,processed meats,canned veg.,canned soups,ketchup,snack foods
Term
hyponatremia (causes)
Definition
increased perspiration,drinking a lot of water,GI loss,suction,vomiting;irrigation of NG tube with plain water,adrenal insufficiency,potent diuretics
Term
signs and symptoms of hyponatremia
Definition
headache,apprehension,lethargy,convultions,hypotension,abdominal cramps,vomiting,oliguria,muscular weakness
Term
nursing actions for hyponatremia
Definition
use NS and Water for irrigation,avoid tap enemas,drink juices and bouillon,IV NS solutions, (ABC's,V/S,I/O,labs,IV)
Term
hypernatremia (causes)
Definition
decreased water intake,diarrhea,impaired renal function,unconsciousness,base bicarbonate deficit
Term
signs and symptoms of hypernatremia
Definition
edema,hypertonicity,dry sticky mucous membranes,elevated temp,flushed skin, thirst
Term
nursing actions for hypernatremia
Definition
dextrose in water IV,free water replacement,elderly drink 8-10 glasses,humidifier
Term
potassium
Definition
most abundant cation in ICF,maintains heartbeat
Term
normal potassium range
Definition
3.5-5 mEq/L
Term
hypokalemia
Definition
<3.5, body can't conserve potassium;most fequent electrolyte imbalance
Term
hyperkalemia
Definition
>5.0 mEq/L,most dangerous electrolyte imbalances
Term
sources of potassium
Definition
bananas,strawberries,figs,peaches,melon,prunes,raisins,apricots,nuts,leafy green, juices,and salt substitutes
Term
hypokalemia causes
Definition
urinating too much,burns,diarrhea,vomting,gastric suction,sweat too much,not eating foods with potassium
Term
signs and symptoms of hypokalemia
Definition
muscle cramping/weakness;can't breath;weak pulse;cardio arrest; "suction"
Term
hypokalemia nursing actions
Definition
ABC's,VS,I/O,Telemetry,Labs, ABG's,Potassium supplements,infusion burns
Term
hyperkalemia
Definition
renal failure,cell damage,acidosis
Term
signs and symptoms of hyperkalemia
Definition
CNS ambulation,irritability,weakness,abdominal cramps,dysrythmias
Term
nursing actions for hyperkalemia
Definition
ABC's,monitor VS,I/O,Telemetry,Fluids to increase urinary output,Kayexalate
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