F&E Drugs For Electrolyte Imbalances

Question 1

Potassium replacements (1)

Answer 1

KCL-improves muscle contraction, regulates heart beat, regulates nerve impulse transmissions

Question 2

Potassium reduction (3)

Answer 2

Kayexelate-diarrhea to flush out K (K-exit)
Calcium Gluconate- prevents cardiac effects of hyperkalemia
Insulin-shifts K into cells out of blood (k-in)

Question 3

Sodium replacement (1)

Answer 3

LR/NS in high concentration- sodium controls water retention so replace with isotonic fluids

Question 4

Sodium reduction (1)

Answer 4

Hypotonic solutions- shifts Na into cells and out of the blood

Question 5

Calcium replacement (2)

Answer 5

Calcium gluconate 
Calcium chloride (give with OJ)

Both increase Ca to improve blood clotting and muscle contractions

Question 6

Calcium reduction (3)

Answer 6

Hypotonic solutions- shifts Ca from blood to cells
Calcitonin-Decreases serum Ca
Furosemide-Diuretic to eliminate Ca via excretion

Question 7

Magnesium replacement (1)

Answer 7

Magnesium sulfate- improve nerve and muscle function, heart beat regulation, and immunity