Module 9 Electrolyte Imbalances Flashcards

1
Q

Hyponatremia and Hypernatremia are refered to what?

A

sodium levels

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2
Q

signs of hyponatremia

A

they will usually be dehydrated due to sodium and water work together. With more severe you experience mental status changes, confusion, personality changes, weakness, nausea, vomiting.. very serious in elderly patients

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3
Q

signs of hypernatremia

A

thirst is usually the first to appear, mental status changes, seizures may also occur, muscle twitches will come above first, then muscle weakness.

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4
Q

Hypokalemia and Hyperkalemia

A

potassium balances. most common electrolyte in the ICF compartment. it is especially important for caridac muscle, skeletal muscle, and smooth muscle function. never given by IV push

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5
Q

signs of hypokalemia

A

muscle cramping, muscle fatigue. vital sings change, shallow ineffective breathing, pulse is typically weak, irregular, and thready. A major danger is irregular heartbeat which can cause cardiac arrest

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6
Q

signs of hyperkalemia

A

muscle twitches and cramps, later followed by profound muscular weakness, increased GI motility, slow heart rate, and decreased blood pressure.

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7
Q

hypo and hyper calcemia

A

calcium. a mineral that is primarily stored in bones and teeth. a small amount found in ECF. it is needed for the proper function of excitable tissues, especially cardiac muscles.

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8
Q

signs of hypocalcemia

A

Chronic is usually not diagnosed untill the patient breaks a bone, usually a hip. Acute hypo: irregular heart rate, mental status changes, hyperactive deep tendon reflexes, and increased GI motility.

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9
Q

two test that you can use to test for hypocalcemia

A

trousseaus and chvostek’s sign

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10
Q

hypercalcemia signs of

A

mild: may have no obvious sings and symptoms. acute: increased heart rate and blood pressure, skeletal muscle weakness, and decreased GI motility —> may get urinary calculi(stones)

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11
Q

if hypercalcemia is so severe that cardiac problems are present what may be necessary

A

hemodiaysis, peritoneal dialysis, ultrafiltration

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12
Q

magnesium works with what mineral

A

calcium, so if there is in imbalance of mag there is usally one in calcium

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13
Q

hypomag

A

patients with sever diarrhea, or Crohn’s disease are unable to absorb the mag

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14
Q

major cause of hypomag

A

alcoholism, which causes both a decreased intake and an an increased renal excertion of mag

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15
Q

magnesium sulfate is given how

A

IV; and placed on cardiac monitor

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16
Q

major cause of hypermag

A

is increased intake coupled with decreased renal excertion caused by real failure

17
Q

signs of hypermag

A

usually not present untill above 4 bradycardia, hypotension, drowisness, weakness

18
Q

what is an acid

A

a substance that releases a hydrogen ion, a common acid is HCl

19
Q

what is a base

A

a substance that binds hydrogen, like HCO3,

20
Q

what is another for base

A

alkali

21
Q

acids are formed as end products of what?

A

glucose, fat, and protein metabloism. they are called fixed acids, because they do not change once they are formed.

22
Q

ph scale

A

0-14 0-6.99 being acid and 7.01-14 being base.

23
Q

what is the normal ph level

A

7.35-7.45

24
Q

what threee mechanisms are used during control of acid-base balance.

A

cellular buffer, the lungs, and the kidneys

25
Q

cellular buffers act as

A

a type of sponge to soak up extra hyrdogen ions if there are too many or release hydrogen ions if there are too many

26
Q

the lungs

A

when the blood is to acidic the lungs blow off add. CO2 through rapid deep breathing. if the blood is to alkaline the lungs try to conserve Co2 through shallow resp.

27
Q

the kindeys response

A

may take 24-48 hours. they regulate the amount of base that is kept in the body. if the pH lowers the kidneys will reabsorb add. HCO3

28
Q

ABG’s

A

arterial blood gases. the blood sample that is analyzed must be from an artery rather than a vein

29
Q

acidosis

A

blood becomes too acidic or to alkaline

30
Q

respitory acidosis

A

resp. problems. CO2 is not adequately blown off during expiration, causing a build up of CO2 in the blood

31
Q

metabolic acidosis

A

results from too much acid in the body, or too little HCO3 in the body. uncontrolled diabetes and renal failure are too common causes

32
Q

respitory alkalosis

A

occurse when there is excessive loss of CO2 through hyperventillation. use paper bag

33
Q

metabolic alkalosis

A

results from excessive ingestion of HCO3 or other bases into the body or loss of acids from the body. overuse of antacids or baking soda causes this.