Electrolytes Flashcards
Hyponatremia
sodium deficit
Hyponatremia Causes
Loss through sweating, vomiting, diarrhea
Diuretic Use
Hormonal: Insufficient aldosterone, Adrenal Insufficiency
Dilutional: excessive fluid
Hyponatremia S&S
S - stupor/coma
A - anorexia, N/V
L - lethargy
T - tendon reflexes decreased
L - limp muscles
O - orthostatic hypotension
S - seizures/headache
S - stomach cramps
Sodium
think fluid balance
Hypernatremia
sodium excess
Hypernatremia Causes
Hormonal: Insufficient ADH, Excessive aldosterone
Loss of thirst, Increased ingestion
Hypernatremia S&S
F - flushed skin
R - restlessness
I - increased fluid retention, ↑ BP
E - edema peripheral, pitting dependent
D - decreased urine, dry mouth S - skin dry
A - agitation
L - low grade fever
T - thirst, tachycardia
Potassium
think heart
Hypokalemia
Potassium loss
Hypokalemia Causes
Loss through diarrhea, ETOH, anorexia
Drugs: Diuretic Use, Excessive Insulin
Hormonal: Excessive aldosterone
Hypokalemia S&S
S - skeletal muscle weakness
U - U wave and EKG changes
C - constipation, ileus
T - toxic effects of digoxin
I - irregular pulse
O - orthostatic hypotension
N – numbness
Hyperkalemia
potassium excess
Hyperkalemia Causes
Renal failure, Burns
Drugs: K Sparing drugs
Hormonal: Deficient aldosterone
Hyperkalemia S&S
M - muscle weakness
U - urine(oliguria)
R - respiratory distress
D - decreased cardiac contractility
E - ECG changes
R - reflexia
Calcium
think muscle
Hypocalcemia
calcium loss
Hypocalcemia Causes
Hypoparathyroidism
Renal Failure
Malabsorption syndrome
Hypocalcemia S&S
C- convulsions
A- arrhythmias
T- tetany
S- stridor, spasms
Hypercalcemia
excess calcium
Hypercalcemia Causes
Hyperparathyroidism
Neoplasms
Increased calcium intake
Hypercalcemia S&S
B- bone pain
A- arrhythmias
C- cardiac arrest
K- kidney stones
M- muscle weakness
E- excessive urination
phosphate
inverse of calcium
Hypophosphatemia
phosphate loss
Hypophosphatemia causes
Malabsorption/malnutrition
Diuretics
DKA, hyperthyroidism, Increased aldosterone
Hypophosphatemia S&S
B- bone pain
A- arrhythmias
C- cardiac arrest
K- kidney stones
M- muscle weakness
E- excessive urination
Hyperphosphatemia
excess phosphate
Hyperphosphatemia causes
renal failure
Hyperphosphatemia S&S
C- convulsions
A- arrhythmias
T- tetany
S- stridor, spasms
Magnesium
think energy
Hypomagnesemia
magnesium loss
Hypomagnesemia causes
Excessive Alcohol consumption
Malnutrition
Hyperthyroidism
Hypomagnesemia S&S
T- Tachycardia/Tetany
R- Respiratory weakness
A- A increased BP
N- Neuromuscular excitability
C- Confusion
E- Excitable neurons (seizures)
Hypermagnesemia
magnesium excess
Hypermagnesemia causes
Excessive Ingestion of antacids
Renal Failure
Hypermagnesemia S&S
D- Depressed reflexes
R- Respiratory/Cardiac depression
I- Irritable bowels
V- Vomiting
E- Eventual low BP
Chloride
think sodium
Hypochloremia
chloride loss
Hypochloremia causes
Excessive vomiting (alkalosis)
Excessive sweating/dehydration
Hypochloremia S&S
S - stupor/coma
A - anorexia, N/V
L - lethargy
T - tendon reflexes decreased
L - limp muscles
O - orthostatic hypotension
S - seizures/headache
S - stomach cramps
Hyperchloremia
excess chloride
Hyperchloremia causes
Excessive sodium intake
Excessive water loss
Hyperchloremia S&S
F - flushed skin
R - restlessness
I - increased fluid retention, ↑ BP
E - edema peripheral, pitting dependent
D - decreased urine, dry mouth S - skin dry
A - agitation
L - low grade fever
T - thirst, tachycardia