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Fluids and Electrolytes
ICU
35
Nursing
Undergraduate 2
03/22/2011

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Cards

Term
to be hyponatremic, NA must be less than _____
Definition
135 mEq/L
Term
this condition leads to swelling, cerebral edema, and possibly permanent renal damage
Definition
hyponatremia
Term
during hyponatremia, HR increases, BP decreases and specific gravity is less than
Definition
1.010
Term
disorientation, muscle twitching, nausea, vomiting, abdominal cramps, headache, dizziness, seizures, hypotension, tachycardia and oliguria may be signs of
Definition
hyponatremia
Term
to be hypernatremic, Na levels must be > thans
Definition
145 mEq/L
Term
high temperature, flushed skin, dry mucous membranes, extreme thirst, and sweating- can eventually lead to seizures or death if untreated.
Definition
hypernatremia
Term
The major cation of the ICF
Definition
potassium
Term
hypokalemis is K less than
Definition
3.5 mEq/L
Term
fatigue, dizziness, confusion, muscle weakness, increased sensitivity to digitalis, postural hypotension, abdominal distention, paresthesias, decreased reflexes
Definition
hypokalemia
Term
hyperkalemia is potassium levels greater than
Definition
4.5 mEq/L
Term
renal failure, K sparing diuretics, ACE inhibitors,ARBs, massive cell death
Definition
causes of hyperkalemia
Term
Irritability, restlessness, anxiety, N/V, abdominal cramps, weakness, numbness and tinglinging (fingertips and circumoral) EKG changes
Definition
hyperkalemia
Term
numbness and tingling in the fingers and toes, confusion, hallucination,decreased cardiac output, bleeding, tetany, chvosteks , ECG changes
Definition
hypocalcemia
Term
hypocalcemia is a calcium level less than
Definition
8.5 mEq/L
Term
hypercalcemia is a calcium level greater than
Definition
10.5 mEq/L
Term
deep bone pain, excessive thirst, anorexia, lethargy, weakened muscles
Definition
hypercalcemia
Term
treatment of hypercalcemia
Definition
lasics, ff, ambulation, dialysis
Term
hypomagnesemia
Definition
< 1.5 meq/L
Term
choroid or athetoid muscle activity, facial tics, spasticity, dysrhythmias
Definition
hypomagnesemia
Term
treatment of hypomagnesemia
Definition
give MgSO4
Term
hypermagnesemia
Definition
> 2.5 Meq/L
Term
shallow respirations, bradycardia, hypotension, flushing, lethargy, drowsiness, coma
Definition
hypermagnesemia
Term
hypophosphemia
Definition
< 2.5 mg/dl
Term
caused by muscle weakness, pain, fractured bone
Definition
hypophosphatemia
Term
hyperphosphemia
Definition
> 4.5 mg/dL
Term
caused by atherosclerosis, stroke, heart disease, kidney failure; will have crystals on the skin
Definition
hyperphosphemia
Term
manifested by shortened QT interval, AV conduction blocks, strengethened contractility, shortened ST segment
Definition
hypercalcemia
Term
manifested by tall, peaked T waves, flattened P waves, widened QRS
Definition
hyperkalemia
Term
manifested by prolonged QT interval, V-tach, asystole, torsades
Definition
hypocalcemia
Term
manifested by prominent U waves, Widened T wave, PVC, impaired myocardial conduction
Definition
hypokalemia
Term
Manifested similarly to hypokalemia and hypocalcemia: bradycardia, asystole, torsades de points
Definition
hypomagnesemia
Term
clinical findings: hemolytic anemias, depressed WBC function, bleeding, N/V, anorexia
Definition
hypophosphatemia
Term
clinical findings: tachycardia, nausea, diarrhea, abdominal cramps, muscle weakness, flaccid paralysis, increased reflexes
Definition
hyperphosphatemia
Term
clinical findings: hyperirritability, tetany, slow respiration
Definition
hypochloremia
Term
clinical findings: weakness, lethargy, deep, rapid breathing, unconsciousness (later stages)
Definition
hyperchloremia
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