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ATI Comprehensive > Med-Surg: Fluid & Electrolytes/3 > Flashcards

Med-Surg: Fluid & Electrolytes/3 Flashcards

1
Q

hyper or hypomagnesemia - insomnia, irritability

A

hypo

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2
Q

phosphorus and calcium

A

inverse relationship

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3
Q

electolytes - alkalosis can cause

A

hypophosphatemia

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4
Q

hypophosphatemia risk factors

11

A
  1. vitamin D insuff.
  2. refeeding after starvation
  3. alcohol use disorder
  4. DKA
  5. alkalosis
  6. hypomag
  7. hypokalemia
  8. excessive body fluid loss
  9. burns
  10. TPN
  11. overuse of antacids
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5
Q

electrolytes - TPN can cause

2

A

hypomag

hypophosphatemia

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6
Q

hypomag interventions - meds

2

A
  1. IV mag sulfate

2. PO mag salts

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7
Q

hypomag interventions

3

A
  1. seizure precautions
  2. monitor swallowing
  3. monitor urine output
  4. monitor respirations
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8
Q

hyper or hypophosphatemia - soft tissue calcification

A

hyper

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9
Q

hypermag interventions

4

A
  1. mechanical vent
  2. IV fluids - LR or NS
  3. monitor respirations and BP
  4. monitor DTR
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10
Q

hyper or hypophosphatemia - tetany, cramps

A

hyper

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11
Q

hypophos interventions

5

A
  1. oral phosphate replacement
  2. careful administration of IV phosphorus - severe cases
  3. gradual introduction of solution for clients on TPN
  4. protect from infection
  5. seizure precautions
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12
Q

hyperphos. manifestations

9

A
  1. tetany
  2. cramps
  3. paresthesias
  4. dysrhythmias
  5. Trousseau’s sign
  6. Chvostek’s sign
  7. hyperreflexia
  8. anorexia, NV
  9. soft tissue calcifications
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13
Q

hyper or hypomagnesemia - anorexia, NV

A

hypo

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14
Q

hypomag manifestations

12

A
  1. paresthesias
  2. dysrhythmias
  3. Trousseau’s sign
  4. Chvostek’s sign
  5. agitation
  6. confusion
  7. hyperreflexia
  8. HTN
  9. insomnia
  10. irritability
  11. anorexia, NV
  12. dysphagia
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15
Q

hyper or hypomagnesemia - agitations, confusion

A

hypo

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16
Q

hyper or hypomagnesemia - NV

A

hyper

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17
Q

hyper or hypophosphatemia - chest pain

A

hypo

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18
Q

hypermag manifestations

9

A
  1. hypotension
  2. drowsiness
  3. bradycardia
  4. bradypnea
  5. coma
  6. cardiac arrest
  7. hyporeflexia
  8. NV
  9. facial flushing
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19
Q

hyper or hypophosphatemia - nystagmus

A

hypo

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20
Q

hyperphos. interventions - meds

3

A
  1. vitamin D
  2. aluminum hydroxide
  3. diuretics
21
Q

hyper or hypomagnesemia - facial flushing

22
Q

hyper or hypomagnesemia - HTN

23
Q

hyper or hypophosphatemia - paresthesias

24
Q

hyper or hypophosphatemia - Trousseau’s and Chvostek’s signs

25
Q

hyper or hypophosphatemia - bone pain and deformities

26
Q

electrolytes - chemo can cause

27
Q

hyper or hypomagnesemia - coma

28
Q

hyper or hypomagnesemia - dysphagia

29
Q

hyper or hypophosphatemia - hyperreflexia

30
Q

hyper or hypomagnesemia - hypotension

31
Q

electrolytes - give vitamin D

2

A

hyperphosphatemia

hypocalcemia

32
Q

electrolytes - give aluminum hydroxide

A

hyperphosatemia

33
Q

hyperphosphatemia risk factors

7

A
  1. renal failure
  2. chemo
  3. acute pancreatitis
  4. high vitamin D
  5. hypoparathyroid
  6. execessive enema use
  7. acidosis
34
Q

treat mag toxicity with what

A

calcium gluconate

35
Q

hypermag risk factors

5

A
  1. renal failure
  2. adrenal insufficiency
  3. laxative abuse
  4. lithium toxicity
  5. extensive soft tissue injury or necrosis
36
Q

hypomag risk factors - meds

5

A
  1. cisplatin
  2. cyclosporine
  3. aminoglycosides
  4. diuretics
  5. amphotericin B
37
Q

hypophos manifestations

7

A
  1. paresthesia
  2. muscle weakness
  3. bone pain and deformities
  4. chest pain
  5. confusion
  6. seizures
  7. nystagmus
38
Q

hyperphos. interventions

2

A
  1. IV NS

2. dialysis

39
Q

magnesium should not be administered in clients with what

A

renal failure

40
Q

hyper or hypomagnesemia - cardiac arrest

41
Q

hyper or hypophosphatemia - muscle weakness

42
Q

hypermag interventions - meds

2

A
  1. IV calcium gluconate

2. loop diuretics

43
Q

electrolytes - acute pancreatitis can cause

A

hyperphos

hypocalcemia

44
Q

hyper or hypophosphatemia - confusion

45
Q

hyper or hypomagnesemia - paresthesias

46
Q

hyper or hypophosphatemia - seizures

47
Q

hypomag risk factors

10

A
  1. GI loss
  2. alcoholism
  3. hypocalcemia
  4. hypokalemia
  5. DKA
  6. hyperparathyroidism
  7. malabsorption
  8. TPN
  9. laxative abuse
  10. acute MI
48
Q

hyper or hypomagnesemia - drowsiness

49
Q

hypermag - think?

A

slow - hypotension, bradycardia, bradypnea, hypo reflexes

ATI Comprehensive (17 decks)

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