Electrolyte lab values

Question 1

1 liter fluid weighs?

Answer 1

2.2 lbs

Question 2

Lab values for Sodium

Answer 2

136-145 mEq/L

Question 3

Lab values for potassium?

Answer 3

3.5-5.0 mEq/L

Question 4

Lab values for Calcium?

Answer 4

9.0-10.5mg/dl

Question 5

Lab values for phosphate?

Answer 5

3.0-4.5 mg/dl

Question 6

Lab values for Magnesium?

Answer 6

1.3-2.1 mEq/L

Question 7

Lab values for Chloride?

Answer 7

98-106 mEq/L

Question 8

Normal ranges for pH of blood?

Answer 8

7.35-7.45

Question 9

Lab values for pco2

Answer 9

35-45

Question 10

Lab values for HCO3

Answer 10

21-28

Question 11

Lab values for hemoglobin?

Answer 11

14-18g/dL

Question 12

Lab values for hematocrit?

Answer 12

42%-52%

Question 13

Lab values for urine specific gravity

Answer 13

1.005-1.030 a high specific gravity indicates concentrated urine, and a low specific gravity indicates diluted urine

Question 14

What will the pH and Pco2 be for respiratory alkalosis?

Answer 14

pH will be up and PCO2 will be down

Question 15

What will you see in respiratory acidosis?

Answer 15

low pH and high PCO2

Question 16

What will you see in metabolic alkalosis?

Answer 16

pH is high and HCO3 is high

Question 17

what will you see in metabolic acidosis?

Answer 17

pH will be low and HCO3 will be low

Question 18

Hyponatremia r/t? And S&S “?”

Answer 18

Hyponatremia is r/t:
H2o gain, SIADH, renal, skin, and GI losses
The S&S is "No HAM Lunch" or "NHAML"
Nausea/Vomiting
Headache
Abdominal Cramps
Muscle weakness
Level of consciousness

Question 19

Hyper-Na r/t? and S&S “?”

Answer 19

HyperNa r/t diabetes insipidus, h2o loss, increased Na intake(TPN, cushings, or hyperaldosteronism)
S&S is "SALT"
Skins flushed
Agitation
Low-grade fever
Thirst

Question 20

Hypo-K r/t? and S&S “?”

Answer 20

HypoK r/t poor intake, GI, sweat, and renal losses, shift of K into cells S&S is "A SIC WALT"
Alkalosis
Shallow resp
Irritability
Confusion
Weakness
Arrhythmias
Lethargy
Thready pulse

Question 21

Hyper-K r/t? and S&S “?”

Answer 21

Hyper-K r/t decreased K scretion, increased intake, shift of K out of cells. S&S is "DEAD MD OD"
Drowsiness
EKG changes
Abdominal cramps
Diarrhea
Muscle cramps
Dysrhythmia
Oliguria
Decreased BP

Question 22

Hypo-Ca r/t and S&S “?”

Answer 22

Hypo-Ca r/t inadequate Vit D, crohn's, hypoparathyroidism. S&S is "AD CAT LAP"
Abdominal cramps
Diarrhea
Confusion
Anxiety
Tetany
Laryngeal spasm
Arrhythmias
Parethesia

Question 23

Hyper-Ca r/t? and S&S “?”

Answer 23

Hyper-Ca r/t hyperparathyroidism, immobilization, malignancies, drugs S&S "WAC PAN"
Weakness
Altered personality
Constipation
Polyuria
Arrhythmias
N/V

Question 24

Hypo-P r/t? and S&S “?”

Answer 24

Hypo-P r/t to alcohol, TPN, DKA S&S "PAMI"
Parethesia
Arrhythmia
Muscle weakness
Irritability

Question 25

Hyper-P r/t and S&S "?"

Answer 25

Hyper-P r/t renal failure, high intake of (i.e. enema, lg vit D intake, IV) S&S are for short term present as hypoCA and long term is soft tissue calcification

Question 26

Hypo-Mag r/t? and S&S "?"

Answer 26

``` Hypo-Mag r/t chronic alcoholism, GI and increased renal losses S&S "DAMP" Depression Arrhythmias Metabolic imbalance Parathesia ```

Question 27

Hyper-Mag r/t? and S&S "?"

Answer 27

``` Hyper-mag r/t excessive intake(MOM, Maalox) S&S "No Home Run For Bobby" Nausea/vomiting Hypotension resp depression Facial Flushing Bradycardia ```