electrolytes dean's Flashcards
Hyponatremia? Hypo? Excess water loss: 1. Diabetes insipidus 2. RTD 3. Prolonged diarrhea 4. Profused sweating
Hypernatremia
Hyponatremia? Hyper?
- Severe burns
- Vomiting
- Fever
- Hyperventilation
Hypernatremia
Hyponatremia? Hyper?
Decreased water intake
Hypernatremia
Hypernatremia? Hypo?
Hyperaldosteronism(Conn’s dse)
Hypernatremia
Hypernatremia? Hypo?
Sodium bicarbonate infusion
Increased oral/IV intake of NaCl
Ingestion of sea water
Hypernatremia
Hyper? Hyponatremia?
- Diuretic use
- Saline infusion
Hyponatremia
Hypo? Hyper? Na+
- Renal failure
- Nephrotic syndrome
- Aldosterone def
- Cancer
Hypo
Hypo? Hyper? Na+
- SIADH
- Hepatic cirrhosis
- Primary polydipsia
- CNS abnormalities
- Myxedema
Hyponatremia
Hyper? Hyponatremia?
Barterr’s syndrome
Hyponatremia
Hyper? Hypo? Na+
Potassium deficiency
Hyponatremia
Hyper? Hypo? K+ Decreased renal excretion 1. Acute chronic renal failure 2. Severe dehydration 3. Addison's dse
Hyperkalemia
Hyperkalemia? Hypo? Extracellular shift 1. Acidosis 2. Muscle/cellular injury 3. Chemotheraphy 4. Vigorous excercise 5. Digitalis intoxication
Hyperkalemia
Hyper? Hypo? K+
1. Oral/iv infusion
2. Immunosuppressive drugs
(Tacrolimus, cyclosporine)
Hyperkalemia
Hypo? Hyper? K+
GI loss
1. Gastric suction & laxative abuse
2. Intestinal tumor & malabsorption
Hypokalemia
Hyper? Hypo? K+
- CA and radio therapy
- Vomiting & diarrhea
Hypokalemia
Hyper? Hypo? K+ Renal loss 1. Diuretics (thiazides) 2. Hyperaldosteronism 3. Cushing syndrome 4. Leukemia
Hypokalemia
Hyper? Hypo? K+
Renal loss
1. Bartter’s syndrome
2. Gitelman’s syndrome
Hypokalemia
Hypo? Hyper? K+
Renal loss
1. Liddle’s syndrome
2. Malignant hypertension
Hypokalemia
Hyper? Hypo? K+ Intracellular shift (alkalosis & insulin overdose)
Hypokalemia
Albanese Lein
Sodium
Lockhead and Purcell
Potassium
Hyperchloremia? Hypo?
- RTA
- D. Insipidus
- Salicylate intoxication
Hyper
Hypervhloremia? Hypo?
- Primary hyperpatathyroidism
- Metabolic acidosis
- Prolonged diarrhea
Hyperchloremia
Hypochloremia? Hyper?
- Prolonged vomiting
- Aldosterone def
- Metabolic alkalosis
- Salt losing nephritis
Hypo
Ref value of K+
3.5-5.2mmol/L
Ref value of Cl-
98-107mmol/L
Schales & schales
Cl-
Mercuric thiocyanate = reddish complex
Whitehorn titration method
Cl-
Ferric perchlorate
Cl-
Cotlove chloridometer
Cl-
Clark&collip
Ca
Ferro Ham Chloranilic acid
Ca
Orthocresolpthalein complexone dye
Ca
Fiske subbarow method (ammonium molybdate method)
Phosphorus
Calmagite
Formazen dye method
Titan yellow dye
Mg
Reference value of Na+
135-145mmol/L