Fluid and electrolytes Flashcards
Diseases too much aldosterone
Hyperaldosteronism (Conn’s)
Cushings
Causes fluid volume deficit
paracentesis, thoracentesis, db, vo, hemm,, third spacing (ascite, burns), diarr
Sx fluid vol deficit
low BP, high pulse: weak and thready, less turgor, dry mucous membranes, low urine output, low CVP, high urine specific gravity, low weight, small periph and neck veins, cold and clammy skin (vasoconstrict)
Hypotonic fluids
0,33NaCl, 1/2NaCl, D2.5W
Aldosterone lives in the
Adrenal glands
5 causes FVE
1-congestive heart failure 2-renal failure 3-Too much ADH 4-Too much aldosterone 5-IVF with NA, fleets enemas, Alkaseltzer (have a lot of Na)
Causes hyperMg
Antacids
kidney failure
Treatment hyperMg
ventilator, dialysis, ca gluconate
Causes hyperCa
hyperparathyroidism, immobilisation, thiazides
Treatment hyperCa
steroids, moving, fleets enema, phosphorus bicarb, high phosphorus diet, calcitonin
Treatment hyperNa
Low Na diet daily weights IVF lab work IE **feed tubing its are at risk
HypoNa causes
sweating and only drinking water, D5W, SIADH, psychogenic polydypsia
Sx hypoNa
neuro changes
Trx hypoNa
IVF Na
Treatment hyperk
Insulin and glucose, Ca gluconate, Kaexalate, dialysis