NSGA 150: Exam 4 Flashcards
Transcellular fluid is
cerebrospinal, pericardial, synovial
How do you gain fluid
PO
How do you lose fluid
urine, stool, emesis, skin loss, lungs, GI
Sodium level
135-145
Fluid overload causes with sodium
Hyponatremia
Fluid loss causes with sodium
Hypernatremia
Potassium level
3.5-5.0
Hypokalemia you monitor what
ABG, EKG, only admin K+ after good urine output has been established
Cardiac arrest is frequently associated with
hyperkalemia
Hyperkalemia treatment
IV calcium gluconate and hypertonic
dextrose IV
Calcium level
8.5-10.5
what does calcium need to be absorbed
D1
Hypocalcemia is associated with
hyperphosphatemia
Hypocalcemia is associated with
Hypoparathyroidism
Assessment for hypocalcemia
look at albumin
Which is more accurate? Ionized Ca or total calcium
ionized
Medical management for hypocalcemia
life threatening arrhythmias, IV calcium, DO NOT USE NaCl
Hypocalcemia can cause
seizures, larynospasm
Hypercalcemia can cause
tumors and hyperparathyroidism
Maximum dose for K+ in an hour is
10-20
What will you see with hypercalcemia
severe thirst, polyuria, cardiac arrest
What IV fluid do you give with a pt with hypercalcemia
0.9% NaCl
What can you remove to help with hypercalcemia
parathyroid
Phosphorus level
2.5-4.5
