Electrolytes Flashcards
What does Na mainly control?
CNS
What does K mainly control?
Heart
What does Ca mainly control?
Neuro
What does Mg mainly control?
Neuro
What are the symptoms of Hyponatraemia?
Seizures, confusion, tiredness, abdo cramps, salt craving, nausea, vomiting, low BP
What are the symptoms of Hypernatraemia?
Crave water, weakness, seizures, decrease in consciousness
What are the causes of hyponatraemia?
Kidney failure, heart failure, diuretics (makes the body get rid of more Na in the urine), antidepressant and pain meds (cause more sweating and urinating), severe vomiting and diarrhoea, polydipisa
What are the causes of hypernatraemia?
Vomiting, diarrhoea, burns, excessive sweating, intrinsic renal disease, loop diuretics, osmotic diuresis, diabetes insipidus, adrenal tumours secreting deoxycorticosterone
What is the treatment of hyponatraemia?
Restrict fluid intake, IV NaCl, Fludrocortisone (Na sparing, used in Addison’s)
What is the treatment in hypernatraemia?
Fluid replacement, Loop diuretics can increase renal Na excretion - but can also cause hyper…..
What are the symptoms of hypoK?
U waves, leg cramps, decreased GI motility, increased DTR
What are the symptoms in hyperK?
Cardiac arrest, weakness, increased GI motility, chest pain, palpitations, brady, decreased DTR, peaked T waves
What are the causes of hypoK?
Excessive K loss from diuretics, vomiting, diarrhoea, CKD, diabetic ketoacidosis, excessive alcohol, primary aldosteronism
What are the causes of HyperK?
Renal insufficiency, metabolic acidosis (K shifts from intracellular to extracellular), AKI, diabetes, cardiovascular disease
What is the treatment for HypoK?
Stop diuretics or laxatives, K sparing drugs, stop vomiting and diarrhoea, oral potassium chloride
ACEi and ARB prevent renal K excretion