Hypo and Hyper Flashcards
Calcium range
9-10.5
Hypocalcemia nemonic
TWITCH
What is TWITCH
Trousseaus Sign (hand spas with BP cuff) Watch for dysrhythmias Increase bowel sounds (diarrhea) Tetany (twitching) Chvosteks sign (face twitch) Hypotension/ hyper DTRs
Hypercalcemia nemonic
calcium
CALCIUM nemonic
Cardiac dysrhythmias decreased QT and CNS Anorexia LOC decreased Ca >10.5 Increased drowsiness Under reactive DTRs Muscle Weakness
Hypercalcemia priority interventinos
The 7 Fs Fluids Furosemide (lasix) Foods low in Ca Fiber Focus on VS Fall prevention Fractures
What makes you tired?
hypercalcemia- he drank all the milk now he is tired
What causes increased neuromuscular excitability and laryngeal stridor
hypomagnesemia
food high in Mg
Nuts, dark choice, seafood, peas and beans, whole grains, meat
Hypermagnesmia >
2.1
Does Mg have high or low Neuromuscular excitability
decreased and N/V- everything weak and low
Diarrhea occurs for hyperMg or hyperCa
Mg, constipation on HyperCa
Hypokalemia ?
Hypokalemia nemonic
CRAMPS
CRAMPS
Complication of GI Losses Reflexes decreased Arrhythmias (flat T cause no K) Muscle Cramps Pulse weak BP low Serum K low
How don’t you give K
IM, SQ, or IVP
what 6 drugs cause hypokalemia
Corticosteroids Lassie Thiazides Insulin epinephrine albuterol
5 Foods high in K
Toes Potatoes Tomatoes Avocatoes Banatoes Orangtoes
Hyperkalemia nemonic
DEATH
Death
Dysrhythmias ECG changes - Peaked Ts abd cramp the muscles twitch hypotension