Risk/contributing Factors Flashcards
Hypocalcemia
Low PTH, low vitamin D, burns, diarrhea, laxatives, renal, Rhabdo, blood transfusions, malnutrition, cirrhosis, pancreatitis
Also: fistula, alcoholism, malabsorption, high calcitonin, high phosphate
Hypercalcemia
Common: High PTH and malignancy
Rare: high vitamin D, high intake, immobility
Also: renal, calcitriol, thiazides, steroids, dig toxicity, decreased phosphate
Hypophosphatemia
Alcoholism, diarrhea, antacids, malnourishment and malabsorption, parenteral nutrition
Also: high Ca, eating after starving, DKA, alkalosis, low Mg, low potassium, increased PTH, vomiting, hyperventilation, decreased vitamin D, burns, diuretics, heatstroke, renal, insulin, low ATP
Hyperphosphatemia
Low PTH, renal, high intake, high vitamin D, rhabdo, chemo, tumor lysis, dairy, laxatives
Also: low Ca, acidosis
Hypomagnesemia
Blood transfusion, parenteral nutrition, fasting, alcoholism, diarrhea, GI suction, diuretics
Also: low intake, low potassium and calcium, hyperaldosteronism, renal, malabsorption, DKA, MI and HF
Hypermagnesemia
Renal, intake (Maalox and MOM), IV for eclampsia, adrenal insufficiency treatment for migraines and menstrual cramps
Also: DKA, thyroid insufficiency
Hyperkalemia
Intake (salt subs, IV), retention (renal injury, drugs: ACE inhibitors, ARBs, BBs), spironolactone, cell death (crush, burn), DKA, Rhabdomyolysis
Also: Addison, blood transfusion, NSAIDs, cyclosporine
Hypokalemia
Low intake, thiazides and loops, n and v, GI suction, alkalosis, low Mg, ECF to ICF (insulin)
Also: steroids, high aldosterone, dig toxicity
Hyponatremia
SIADH, NVD, too much water, too much exercise (sweat, high temp), low adrenal, meds (anticonvulsant, SSRI, desmopressin acetate)
Also: low intake, brain issue (ICP), HF, hyperglycemia, renal, diuretics
Hypernatremia
Old/young/cognitively impaired (decreased thirst response)
Dehydrated, high salt diet, hypertonic IV, DI, heatstroke
Also: burn, diarrhea, steroids, bicarbonate
GERD
Older, IBS, breathing disorder, BE, PUD, angina
Tobacco, coffee, alcohol, H pylori
Gastritis
Acute: food, strong acid or base, meds, alcohol, radiation, bile reflux
Chronic: prolonged inflammation, tumors, H pylori, autoimmune disease, diet, meds, alcohol, smoking, reflux
PUD
High HCL, H pylori, diet, NSAID, family, smoke, drink
Constipation
Meds, immobility, low fiber, low fluids, laxative abuse, weakness, fatigue, ignoring urge
Diarrhea
Infection, meds, diet, tube feeding, metabolic and endocrine disorders
IBS triggers
Stress, no sleep, surgery, infection, diverticulitis, certain foods, smoke and drinking
Peritonitis
Surgery, trauma, from nearby affected organ, peritoneal dialysis, infection
Obstruction
Adhesions
Intussusception
Volvulus
Hernia
Tumor
IBD
Alcohol, cigarettes, caffeine
Colorectal cancer
Older, sedentary, family history
Cigs, booze, DM2, low fiber, history of GI issues, male, obese
Cholelithiasis
“Fat, 40, and fertile”
Cystic fibrosis, DM, weight fluctuations, estrogen, ileal issues
Pancreatitis
Cholelithiasis and alcoholics
Appendicitis
10-30 years old
Diverticular
Low fiber
FVE
Cortisol, aldosterone
IV overuse
HF, renal, cirrhosis
Intake
FVD
VD, sweat, suction
Low intake
Third space (burns, ascites)
DI, adrenal insufficiency, hemorrhage, trauma
BE
Over 50, male, smoke, obese
Family history
Esophageal adinocarcinoma