Fluid and Electrolytes 2 Flashcards
8.5-10.5 mEq/L
Normal Calcium levels
Hypoparathyroidism, pancreatitis, malabsorption, vitamin D deficiency Alkalosis medication use (diuretics, steroids, proton pump inhibitors)
causes of HYPOcalcemia
*neuromuscular irritability* Numbness/tingling of extremities, increased deep tendon reflexes bronchospasm positive Trousseau sign & positive Chvostek's sign long QT interval on EKG
signs and symptoms of hypocalcemia
Hyperparathyroidism malignant tumors thiazide diuretics Acidosis prolonged immobility?
causes of HYPERcalcemia
Neuromuscular HYPOtonicity (low reactivity) decreased deep tendon reflexes increased BP, decreased HR long QT interval lethargy/stupor
signs and symptoms of HYPERcalcemia
1.3-2.3 mg/dL ICF neuromuscular function cellular metabolism (Na K pump) blood sugar levels BP making protein, bone, DNA
MAGNESIUM
Alcoholism
acute kidney injury (producing more urine)
heart failure (MI)
chronic laxative use
causes of HYPOmagnesemia
neuromuscular excitability, tetany
increased BP and HR
mood changes, confusion, insomnia
signs and symptoms of HYPOmagnesemia
kidney injury (producing less urine)
adrenal insufficency
Hypothyroidism
chronic renal disease
causes of HYPERmagnesemia
muscle weakness (decreased swallowing ability) lethargy diminished reflexes drowsiness respiratory depression decreased BP and HR
signs and symptoms of HYPERmagnesemia
meat
nuts
legumes
fish
foods high in magnesium
focused assessments for fluid volume imbalances?
skin, neurological, possibly cardiac and muscular
GI loss (vomit, diarhea, suction)
insensible fluid loss (sweating, fever)
3rd spacing
diabetes insipidus
causes of FVD
acute weight loss oliguria poor skin turgor decreased BP, increased HR cool, clammy pale skin
signs and symptoms of FVD
heart failure kidney injury cirrhosis IV fluids w/too much Na long term steroid use
causes of FVE