Ion Concentrations Flashcards
Hyperkalemia causes _________ rate and _______ force of contraction
Decreased
Hyperkalemia effects on ECG
Flattened P wave
Widening PR and QRS
Tall T waves
Hypokalemia ECG changes
Flattened T waves
Prolonged PR and QT intervals
Arrhythmias (progress to v fib)
Hypercalcemia ______ heart actions
Increases
Hypocalcemia ______ heart actions
Depresses
Hypermagnesemia can lead to
Arrhythmia
Cardiac arrest
Hypomagnesemia can cause
Ventricular arrhythmias
Coronary artery vasospasm
Sudden death
Normal potassium
3.5-5.5
Muscle weakness, aches, fatigue, cardiac arrhythmias, abdominal distention, nausea and vomiting
Hypokalemia
What causes hypokalemia
Deficient potassium or excessive loss due to diarrhea, vomiting, metabolic acidosis or alkalosis, renal tubular disease
What causes hyperkalemia
Inadequate secretion With acute renal failure, kidney disease, metabolic acidosis, diabetic keto acidosis, sickle cell anemia, SLE
Muscle weakness, arrhythmias, ECG changes
Hyperkalemia
Normal sodium
135-146
What causes hyponatremia
Water intoxication associated with excessive intake or excess ADH
Confusion, decreased mental alertness, convulsions, signs of increased interest cerebral pressure, poor motor coordination, sleepiness, anorexia
Hyponatremia
What causes hypernatremia
Water deficits with dehydration, insufficient water intake
Circulatory congestion, pitting Edema, excessive weight gain, pulmonary edema with dyspnea, hypertension, tachycardia, agitation, restlessness, convulsions
Hypernatremia
Normal calcium
8.4-10.8
What causes hypocalcemia
Reduced albumin levels, hyperphosphatemia, hypo parathyroidism, malabsorption of calcium and vitamin D, alkalosis, acute pancreatitis, vitamin D deficiency
Muscle cramps, tetany, spasms, paresthesias, anxiety, irritability, twitching convulsion, arrhythmias, hypotension
Hypocalcemia
What causes hypercalcemia
Hyperparathyroidism, tumors, hyperthyroidism, vitamin A intoxication
Fatigue, depression, mental confusion, nausea, vomiting, increased urination, occasional cardiac arrhythmias
Hypercalcemia
Normal magnesium
1.8-2.4