ELECTROLYTES Flashcards
SERUM SODIUM LEVELS
135-145meq/l
hyponatremia
less than 135meq/l
can be caused by syndrome of inappropriate ADH
hypernatremia
more then 145 meq/l
can be caused by diabetes insipidus, diabetes mellitus, fluid loss
SERUM POTASSIUM LEVLES
3.5-5meq/l
hypokalemia
less than 3.5 meq/l
diarrhea, vomiting, diuretic therapy, excessive sweating
hyperkalemia
more than 5meq/l
burns and renal failure
total serum calcium
8.9-10.1 mg/dl
hypocalcemia
less than 8.9 mg/dl
acute pancreatitis
hypercalcemia
greater than 10.1mg/dl
hyperparathyroidism
ionized caclium
4.4-5.3mg/dl
ionized hypocalcemia
less than 4.4
massive transfusion
ionized hypercalcemia
5.3mg/dl
acidosis
serum phosphates
2.5-4.5mg/dl or 1.8-2.6mg/dl
hypophosphatemia
less than 2.5 - 1.8mg/dl
diabetic ketoacidosis
hyperphosphatemia
mor than 4.5 to 2.6mg.dl
renal insufficiency
serum magnesium
1.5-2.5meq/l
hypomagnesemia
less than 1.5 meq/l
malnutrition
hypermagnesemia
more than 2.5 meq/l
renal failure
serum chloride
98-108meq/l
hypochloremia
less than 98 meq/l
prolonged vomiting
hyperchloremia
greater than 108meq/l
hypernetremia
potassium
main ICF cation
regulates cell excitibility
permeates cell membranes
affecting cells electrical status
helps control ICF osmolality
and icf pressure
magnesium
a leading ICF cation
contributes to enzymatic and metabolic processes
particularily protein synthesis
modifies nerve impulses transmission and skeletal, muscle response.
unbalanced mg affects muscle contraction
phosphorous
main ICF anion
promotes energy storage and carbohydrate, protein, and fat metabolism
acts as a hydrogen buffer
sodium
main ECF cation
helps govern normal ECF osmolality
changes fluid volumes
helps maintain acid base balance
activates nerve and muscle cells
influences water distribution
chloride
main ECF anion
healps maintain normal ECF osmolality
affects body ph
plays a vital role in acid base balance
combines with hydrogen ions to produce hydrochloric acid
calcium
a major cation in teeth and bones found in fairly equal concentrations in the ICF and ECF
also found in cell membrane where it helps cells to adhere to one another and maintain their shape
acts as an enzyme activator within cells
cells must have Ca to contract
aids in coagulation
affects cell membrane permeability
bicarbonate
present in ECF
regulates acid base balance