Electrolytes and Acid-Base Flashcards
Parts of bone and teeth, blood clotting, muscle contraction, release of neurotransmitter
Ca
Membrane Potentials
Na and K
Red blood cell formation
Iron
Necessary for enzyme
Magnesium
Present in Thyroid Horomone
Iodide
Water balance
Chloride
Acid-Base Balance
Hydrogen, Hydroxide, Bicarbonate and Phosphate
Sodium
Na+
Normal Value
135-145 mEq/L
Major ion in ECF
Sodium
Routes of Excretion of Sodium
Urine and Sweat
Affected by hormonal factors of Sodium
ADH & ANH
When drawing blood, we measure
Extracellular Value
What arteriole where Na are regulated
Afferent Pathway
It relaxes afferent arteriole of the kidney to stimulate Renin
Decrease BP
Foods rich in Na
Cured Meat
Canned Foods
Junk Foods
Condiments
Imbalances typically associated with parallel changes in
Osmolality
Major Role of Na
ECF volume and concentration
Generation and transmission of nerve impulses
Acid Base balance
High Sodium
Increased intake of eating salty foods
Hypernatremia
Ethiology of Hypernatremia
Near drowning (Ocean)
-drink a lot of Na
Manifestation
Dehydration
Headache/Fever
Diarrhea
Seizure (severe cases)
Treatment of Na
Replace it with Ca (yogurt and milk)
Results from loss of Na
Hyponatremia
Causes
Head Trauma
Adrenal Insufficiency
Gastrointestinal losses
Drinking hypo-osmolar fluids
Critical Values of Hypernatremia
CNS changes > 155 mEq/L
Hyponatremia Symptoms
Headache
Seizure (severe)
Ethiology of Hyponatremia
Caused by water excess
Fluid restriction is needed
Treament
Give small amount of IV hypertonic saline solution
Serious Value
125 mEq/L
Potassium
K+
Normal Values
3.5-4.5 mEq/L
Mostly in intracellular
K
How many percent in intracellular and intravascular
96%
4%
Major source of
K
Normal route of excretion
Kidneys
Cousin of K
Mg
High K
Low K
High Mg
Low Mg
Critical Value >8
Cardiac Arrest
Level required for normal function of the Na-K pump
Normal Mg
Food rich in K
Spinach
Legumes
Beans
Fruits
What makes animal sleep
Potassium Chloride
Necessary for
Transmission and conduction of nerve and muscle impulses
Cellular Growth
Maintenance of Cardiac Rhythms
Acid-Base Balance
Increase intake of K
Hyperkalemia
High serum K by
Massive Intake
Kidney Failure
Adrenal Insufficiency
ICF-ECF
Symptoms of Hyperkalemia
Muscle weakness (Cramping)
ECG changes
Peak T-waves
Hyperkalemia
Cause Diarrhea
Low serum of K
Hypokalemia
Associated with K loss in the kidney or gastrointestinal tracts
Metabolic Alkalosis
Mg Deficiency
Hypokalemia
Symptoms of Hypokalemia
Weakness, fatigue
Decreased muscle tone, leg cramps
Cardia changes
Calcium
Ca++
T wave inversion
ST depression
Prominent U wave
Hypokalemia
Normal Range
9-11 mg/dL
How many percent bound to protein albumin
50%
99% of Calcium can be found in
Bones
Inverse relationship with
PO4
Low Protein
Hard to absorb Ca
Blocks Na transport and stabilize cell membrane
Plays a role in clotting (Prothrombin)
Ca
High Ca
Low Ca
Low P
High P