Electrolytes Flashcards
Hyponatraemia drugs??
Carbamazepine
Diuretics
Desmopressin/vasopressin
SSRIS
Certain Drugs Ditch Salt
Hypernatraemic drugs?
Sodium bicarbonate/chloride
Corticosteroids
Effervescent formulation
Oestrogen/Androgens
Salty CEO
Hypokalaemic drugs?
Aminophylline/theophylline
Beta agonists
Corticosteroids
Diuretics (Loop/thiazides)
Erythromycin/ clarithromycin
Insulin
ABCDE - I
Hyperkalaemic drugs?
Trimethoprim
Heparin
Ace/Arbs
NSAIDs
K-Sparing
Betablockers
*THANKS-B
What is the Hypokalaemia levels?
Below 3.5
What is Hyperkalaemia Levels?
5.3 and above
What is Hypernatraemia levels?
Above 146
What is Hyponatraemia levels?
Below 133
QT prolongation is associated with which electrolyte imbalance?
Hypokalaemia
QT prolongation treatment?
IV Magnesium + Betablocker (not sotalol)
What levels are Hypomagnesia ?
Below 0.6
What levels are considered Hypermagnesaemia?
Above 1.00
Hypomagneseamia Treatment?
Symptomatic: IV/IM Magnesium
Mild: Oral magnesium
Hypermagnesaemia treatment?
Calcium Gluconate injections
What levels are considered Hypocalcaemia?
Below 2.2
What levels are considered Hypercalcaemia?
Above 2.6
In osteoporosis pt what is the treatment for hypocalcaemia?
Double recommended amount - reduce bone loss
Which drugs cause Hypocalcaemia?
Rifampacin
Alendronic acid
Phenytoin
Phenobarbital
RAPP
Severe Hypocalcaemia treatment?
IV Calc Gluconate 10%
Slow to avoid arrhythmias
Severe Hypercalcaemia treatment?
IV NaCl 0.9
- correct dehydration
- stop lithium, diuretics, thiazides,vit d
Hypercalcaemia with malignancy?
Calcitonin
What levels are considered Hypophosphataemia?
Below 0.87
What levels are considered Hyperphosphataemia?
Over 1.45
Which pt’s are susceptible to getting hypophosphataemia?
- Diabetic Ketoacidosis patients
Or - Alcohol dependence
Treatment for Hypophosphataemia?
Oral phosphate supplements
Treatment for hyperphosphataemia?
1st line? 2nd line? 3rd line?
1st line: Calcium acetate
2nd line: Sevelemar
3rd line: CaCo3 or Sucroferric acid
Which Patients are susceptible to hyperphosphataemia?
CKD stage 4/5
Treatment for hyperparathyroidism?
1st line: Parathyroidextomy surgery
In Hyperparathyroidism, if surgery is unsuccessful what would be used?
Cinacalcet
Bisphonates reduce which risks?
Fracture risk reduced
High calcium
Low phosphates