FLUIDS & ELECTROS Flashcards

1
Q

CHLORIDE
Normal Range:

A

98-106 mEq/L

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2
Q
  • Most abundant extracellular anion
  • Works with sodium to maintain fluid balance
  • Binds with hydrogen ions to form stomach acid - HCl
A

CHLORIDE

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3
Q
  • Stored in the bones & cartilage
  • Plays a major role in skeletal muscle contraction & ATP formation
  • directly related to calcium because it is necessary for PTH
    production.
A

MAGNESIUM

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4
Q

PHOSPHATE
Normal range:

A

3-4.5 mEq/l

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5
Q

POTASSIUM
Normal Range:

A

3.5-5 mEql/L

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6
Q
  • Large component of bones and teeth
  • Has an inverse relationship with calcium
A

PHOSPHATE

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7
Q

CALCIUM
Normal range:

A

9-10 mg/dL

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8
Q
  • Most abundant intracellular cation
  • Important in muscle contraction, nerve impulses, & acid-base imbalances
A

POTASSIUM

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9
Q
  • Most abundant extracellular cation
  • Water likes to always moves to the area with high
    concentrations of electrolytes
A

SODIUM

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10
Q
  • Regulated by PTH and vitamin D
  • Has an inverse relationship with phosphorus
A

CALCIUM

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11
Q

SODIUM
Normal range:

A

135-145 mEq/L

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12
Q

MAGNESIUM
Normal range:

A

1.5-2.5 mEq/L

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13
Q
  • Excessive intake of calcium
    -Hyperparathyroidism
  • Excessive Vitamin D intake
  • Vitamin D toxicity
  • Cancer of the bones
  • Immobility
A

HYPERCALCEMIA

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14
Q
  • Renal failure
  • Acute pancreatitis
  • Malnutrition
  • Malabsorption
  • Celiac disease
  • Crohn’s disease
  • Alcoholism
  • Bulimia
  • Vitamin D deficiency
  • Hypoparathyroidism
  • Hyperphosphatemia
  • Glucocorticoids
A

HYPOCALCEMIA

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15
Q

seen in the face when facial muscles twitch after the facial nerve is tapped lightly on the upper cheek, (just in front of the ear); low calcium

A

Chvostek’s sign

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16
Q

occurs with the contraction of the muscles in the hand and wrist (i.e., carpopedal spasm). This is seen after you put a blood pressure cuff on a client; low calcium

A

Trousseau’s sign

17
Q
  • Excessive dietary intake
  • Too many magnesium
    containing medications
  • Over-correction of
    hypomagnesemia
  • Renal failure
A

HYPERMAGNESEMIA

18
Q
  • Alcoholism
  • Malnutrition
  • Malabsorption
  • Hypoparathyroidism
  • Hypocalcemia
  • Diarrhea
A

HYPOMAGNESEMIA

19
Q
  • Burns or tissue damage
    (potassium forced out of the
    damaged cells)
  • DKA
  • Renal failure
  • Excessive potassium intake
  • ACE inhibitors and ARBs
  • Potassium-sparing diuretics
A

HYPERKALEMIA

20
Q
  • DRUGS: laxatives, diuretics, corticosteroids
  • INADEQUATE K+ intake: NPO, eating disorders, alcoholism
  • Too much water: polydipsia, excessive IVF
  • Cushing’s Syndrome: too much cortisol, Na/H2O retention, K+ secretion
  • Heavy Fluid loss: NGT suction, vomiting, diarrhea, wound drainage, sweating
  • Alkalosis
  • Hyperinsulinism
A

HYPOKALEMIA

21
Q
  • Fluid loss
    Dehydration
    Vomiting
    Sweating
  • Steroids
    Cushing’s disease
    Excess corticosteroid
    administration
  • Excess chloride administration
    NORMAL SALINE!
A

HYPERCHLOREMIA

22
Q
  • Volume overload
  • CHF
  • Water intoxication
  • Salt losses
  • Burns
  • Sweating
  • Vomiting
  • Diarrhea
  • Cystic Fibrosis
  • Addison’s Disease
A

HYPOCHLOREMIA

23
Q
  • Excessive dietary intake of
    phosphorus
  • Tumor lysis syndrome
  • Renal failure
  • Hypoparathyroidism →
    Hypocalcemia →
    Hyperphosphatemia
A

HYPERPHOSPHATEMIA

24
Q
  • Malnutrition
  • Alcoholism
  • TPN
  • Hyperparathyroidism →
    hypercalcemia →
    hypophosphatemia
A

HYPOPHOSPHATEMIA

25
Q
  • Diabetes insipidus
  • Increased insensible water loss
    from hyperventilation, sweating,
    and/or fever
  • Hypertonic IVF
  • Sodium bicarbonate
  • Increased sodium intake
  • Corticosteroids
  • Cushing’s disease
  • Hyperaldosteronism
  • Vomiting
  • Diarrhea
  • Dehydration
  • Osmotic Diuretics
  • Burns
  • NPO
A

HYPERNATREMIA

26
Q
  • SIADH
  • Adrenal insufficiency
  • Addison’s disease
  • Polydipsia
  • Excessive hypotonic IVF
  • Low sodium intake
  • CHF
  • Kidney Failure
  • Nephrotic syndrome
  • Liver Failure
  • Water intoxication
  • Vomiting
  • Diarrhea
  • NG over suctioning
  • Diuretics
  • Burns
  • Excessive sweating
A

HYPONATREMIA