Electrolyte Imbalances Flashcards

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1
Q

what is the general principle for ___kalemia symptoms

A

kalemias do the same as the prefix except for HR & urine output

ex. with hyperkalemia, everything is high except HR & urine output

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2
Q

what are examples of hyperkalemia symptoms

A
  • low HR
  • low urine output
  • irritable
  • agitation
  • restlessness
  • tachypnea
  • T waves tall
  • S waves elevated
  • borborygmi
  • diarrhea
  • spasticity
  • increased tone
  • +3, +4 reflexes
  • cardiac arrets
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3
Q

what are examples of hypokalemia symptoms

A
  • lethargy
  • polyuria
  • increased HR
  • paralytic ileus
  • constipation
  • flaccid
  • 0,1 reflexes
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4
Q

potassium greatly impacts which organ in specific

A
  • heart
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5
Q

can K+ be given IV push? what is the max conc for IV?

A
  • cannot be given push
  • no more than 40mmol/L
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6
Q

what is treatment for hyperkalemia? which is fast & temporary vs slow and lasts longer?

A
  • D5W with regular insulin (fast, temporary)
  • kayexalate (takes longer, but lasts longer)
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7
Q

what is the general principle for symptoms of ____calcemia

A
  • your body does the opposite of the prefix

ex. hypercalcemia = everything low, and vice versa

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8
Q

in addition to everything being up with hypocalcemia, what other symptoms occur?

A
  • chovostek (tap cheek to illicit face spasm)
  • trousseau sign (BP cuff inflated = hand spasm)
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9
Q

what does calcium imbalances most impact?

A
  • muscle & nerves
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10
Q

what is the general principle for symptoms of magnesium imbalances? what is the one exception?

A

opposite of the prefix

  • exception: increased BP with hypomagnesium
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11
Q

what is tetany

A

low calcium

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12
Q

what should you think of when you hear hypernatremia

A
  • dehydration
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13
Q

what are signs of hypernatremia

A
  • signs of dehydration
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14
Q

what is treatment of hypernatremia

A
  • fluids
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15
Q

what should you think of when you hear hyponatremia

A
  • fluid overload
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16
Q

what is treatment for hyponatremia

A
  • fluids restriction
  • lasix
17
Q

with DKA, is sodium high or low?

A
  • dehydrated = hypernatremia
18
Q

what is the earliest sign of any electrolyte imbalance

A
  • muscle weakness AKA paresis
19
Q
A
20
Q

What is the normal calcium range

A

9-10.5

21
Q

What is the normal phosphorus range

A

3-4.5

22
Q

What is the normal magnesium range

A

1.3-2.1