Chloride

Question 1

Chloride values

Answer 1

95-105

Question 2

Chloride function and regulation

Answer 2

Fluid & Acid balance
Regulated by kidneys

Question 3

Chloride has an inverse relationship with:

Answer 3

Bicarbonate, when Cl drops bicarb increases.

If acidosis, kidneys excrete Ch and retain Bicarb to restore pH

Question 4

Hypochloremia causes

Answer 4

Loss of stomach acid: vomit, diarrhea
Low Na intake
Metabolic alkalosis (↑ bicarb)
Water intoxication (D5W IV)
Diuretics

Question 5

Hypochloremia symptoms < 95

Answer 5

Hypotension
Tachycardia
Seizures, tetany
Fatigue, cramps

Question 6

Hypochloremia intervention

Answer 6

Monitor I&Os, ABGs, Electrolytes
↑ Salt intake
Adm IV K+, IV Sodium chloride
No diuretics
Severe: 0.9-0.45 NaCl solution

Question 7

Hypochloremia diet

Answer 7

Table salt
soy
canned soup
dairy
tomato juice

Question 8

Hyperchloremia causes

Answer 8

Salty diet
Kidney failure
Hyperparathyroidism
metabolic acidosis (low bicarb)

Question 9

Hyperchloremia symptoms

Answer 9

Tachypnea (fast breathing)
Weakness, lethargy
Confusion
↑ BP, arrhythmia
Edema/swelling/fluid retention

Question 10

Hyperchloremia Interventions

Answer 10

Monitor I&Os, ABGs, Electrolytes
Na restriction
Diuretics
Sodium bicarbonate IV
Hypotonic sol or LR