Electrolytes Flashcards

1
Q

What does Na mainly control?

A

CNS

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2
Q

What does K mainly control?

A

Heart

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3
Q

What does Ca mainly control?

A

Neuro

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4
Q

What does Mg mainly control?

A

Neuro

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5
Q

What are the symptoms of Hyponatraemia?

A

Seizures, confusion, tiredness, abdo cramps, salt craving, nausea, vomiting, low BP

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6
Q

What are the symptoms of Hypernatraemia?

A

Crave water, weakness, seizures, decrease in consciousness

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7
Q

What are the causes of hyponatraemia?

A

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

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8
Q

What are the causes of hypernatraemia?

A

Vomiting, diarrhoea, burns, excessive sweating, intrinsic renal disease, loop diuretics, osmotic diuresis, diabetes insipidus, adrenal tumours secreting deoxycorticosterone

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9
Q

What is the treatment of hyponatraemia?

A

Restrict fluid intake, IV NaCl, Fludrocortisone (Na sparing, used in Addison’s)

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10
Q

What is the treatment in hypernatraemia?

A

Fluid replacement, Loop diuretics can increase renal Na excretion - but can also cause hyper…..

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11
Q

What are the symptoms of hypoK?

A

U waves, leg cramps, decreased GI motility, increased DTR

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12
Q

What are the symptoms in hyperK?

A

Cardiac arrest, weakness, increased GI motility, chest pain, palpitations, brady, decreased DTR, peaked T waves

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13
Q

What are the causes of hypoK?

A

Excessive K loss from diuretics, vomiting, diarrhoea, CKD, diabetic ketoacidosis, excessive alcohol, primary aldosteronism

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14
Q

What are the causes of HyperK?

A

Renal insufficiency, metabolic acidosis (K shifts from intracellular to extracellular), AKI, diabetes, cardiovascular disease

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15
Q

What is the treatment for HypoK?

A

Stop diuretics or laxatives, K sparing drugs, stop vomiting and diarrhoea, oral potassium chloride
ACEi and ARB prevent renal K excretion

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16
Q

What is the treatment for hyperK?

A

Calcium gluconate, insulin and dextrose
Remove sources of K intake
Correct metabolic acidosis with Na bicarbonate
Salbutamol - encourages K removal

17
Q

What are the symptoms of hypocalcaemia?

A

Weak bones, teeth, severe muscle cramps, trousseau, chvosteks sign, increased DTR, seizures

18
Q

What are the symptoms of hypercalcaemia?

A

Lethargy, bone pain, decreased DTR

19
Q

What are the causes of hypocalcaemia?

A

Hypoparathyroidism, could result from a decrease in albumin (as it is the carrier protein) so liver disease, nephrotic syndrome, malnutrition, hypomagnesemia, hypephosphataemia, PTH deficiency, Vit D resistance

20
Q

What are the causes of hypercalcaemia?

A

Primary hyperthyroidism
Associated with malignancy - ectopic PTH secretion
Drugs - thiazide diuretic, vit D, familial hypocalciuric hypercalcaemia

21
Q

What is the treatment for hypocalcaemia?

A

IV calcium gluconate if acute

Ca and Vit D supplements if chronic

22
Q

What is the treatment for hypercalcaemia?

A

Fluids, isotonic NaCl. Then a loop diuretic to stop the Na and Ca reabsorption into the thick ascending loop of henle
Reduction in dietary vit D and Ca
Prednisolone can help reduce plasma Ca levels by reducing the intestinal Ca absorption
Oral phosphate can be used to form Ca phosphate in the blood
Calcimimetic - mimics the activation of Ca to activate PTH

23
Q

What are the symptoms of hypomagnesemia?

A

Tremors, increased DTR, tachy, confusion

24
Q

What are the symptoms of hypermagnesemia?

A

Vasodilation, nausea, vomiting, weakness, hypotensive, decreased DTR, cardiac arrest

25
Q

What are the causes for hypomg?

A
Increased excretion due to hypercalcaemia, furosemide, inadequate intake, impairment of renal conservation or GI absorption 
Alcoholism
Chronic PPI use 
Pregnancy and lactation
DKA
26
Q

What are the causes of hypermg?

A
renal failure 
Excessive intake 
Hypothyroidism
Addison disease
Familial hypocalciuric hypercalcaemia, milk alkali syndrome and depression
27
Q

What is the treatment of hypomg?

A

Increase green veg intake

IV mg

28
Q

What is the treatment for hyperMg?

A
Calcium gluconate (antagonises the toxic effect of the mg)
Diuretics promote Mg excretion 
Glucose and insulin can help to promote Mg entry into the cell