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ATI Comprehensive > Med-Surg: Fluid & Electrolytes/2 > Flashcards

Med-Surg: Fluid & Electrolytes/2 Flashcards

(40 cards)

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1
Q

hypernatremia manifestations

8

A
  1. fever
  2. swollen, dry tongue
  3. hallucintaions
  4. lethargy, restlessness, irritable
  5. seizures
  6. tachycardia
  7. hyperreflexia, twitching
  8. pulmonary edema
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2
Q

hypercalcemia manifestations

8

A
  1. muscle weakness
  2. hypercalciuria/kidney stones
  3. dysrhythmias
  4. lethargy/coma
  5. hyporeflexia
  6. polyuria, polydipsia
  7. HTN
  8. NV
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3
Q

hypernatremia risk factors

8

A
  1. dehydration
  2. GI loss
  3. hyperaldosteronism
  4. diabetes insipidus
  5. KF
  6. burns
  7. heatstroke
  8. corticosteroids
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4
Q

hyper or hypocalcemia - hypercalciuria/kidney stones

A

hyper

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5
Q

hyper or hyponatremia - anorexia, NV

A

hyponatremia

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6
Q

hyper or hyponatremia - headache

A

hypo

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7
Q

hyper or hypocalcemia - Chvostek’s sign

A

hypo

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8
Q

hyper or hypocalcemia - lethargy

A

hyper

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9
Q

hypocalcemia risk factors - disease process

4

A
  1. celiac disease
  2. lactose intolerance
  3. crohn’s disease
  4. alcohol use
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10
Q

hyper or hypocalcemia - flank pain

A

hyper

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11
Q

hypercalcemia risk factors - meds

4

A
  1. thiazide diuretics
  2. lithium
  3. steroids
  4. digoxin toxicity
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12
Q

hypocalcemia manifestations

6

A
  1. tetany
  2. cramps
  3. Trousseau’s sign
  4. Chvostek’s sign
  5. hyperreflexia
  6. impaired clotting time
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13
Q

hyper or hypocalcemia - pathological fractures

A

hyper

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14
Q

hyponatremia interventions

3

A
  1. sodium replacement
  2. restrict PO fluid intake
  3. medications - conivaptan hydrochloride
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15
Q

hyponatremia manifestations

11

A
  1. weakness
  2. lethargy
  3. confusion
  4. seizures
  5. headache
  6. anorexia
  7. NV
  8. muscle cramps
  9. twitching
  10. hypotension
  11. tachycardia
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16
Q

hyper or hypocalcemia - muscle weakness

A

hyper

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17
Q

hyper or hypocalcemia - hyperreflexia

18
Q

hypercalcemia interventions

4

Study These Flashcards
A
  1. increase mobility
  2. isotonic IVF
  3. dialysis
  4. cardiac monitoring
19
Q

hyper or hypocalcemia - cramps

20
Q

hyper or hypocalcemia - impaired clotting time

21
Q

hypernatremia interventions

4

Study These Flashcards
A
  1. seizure precautions
  2. IV fluid - hypotonic or isotonic
  3. diuretics
  4. increase oral fluid intake
22
Q

hyponatremia tx with hypertonic solutions - what is a risk

Study These Flashcards
A

cerebral edema

23
Q

hyper or hyponatremia - weakness

24
Q

hyponatremia risk factors from meds

5

Study These Flashcards
A
  1. diuretics
  2. anticonvulsants
  3. SSRIs
  4. lithium
  5. demeclocycline
25
calcium and phophorus
inverse relationship
26
hyper or hypocalcemia - coma
hyper
27
hyper or hypocalcemia - NV
hyper
28
hypocalcemia risk factors | 5
1. hypoparathyroid 2. hypomag 3. KF 4. vitamin D def 5. GI loss - wound drainage, diarrhea
29
calcitonin
hormone secreted by the thyroid that opposes hypercalcemia by increase reabsorption of calcium from the blood into the bones and helps excrete excess calcium out of the kidneys
30
hypercalcemia interventions - meds | 5
1. furosemide 2. calcitonin 3. steroids 4. bisphosphonates 5. calcium cheltors
31
hyper or hypocalcemia - tetany
hypo
32
hyper or hypocalcemia - deep bone pain
hyper
33
hyper or hypocalcemia - hyporeflexia
hyper
34
hyper or hypocalcemia - Trousseau's sign
hypo
35
hypercalcemia risk factors | 6
1. hyperparathyroidism 2. malignant disease 3. prolonged immobilization 4. dehydration 5. vitamin D excess 6. hyperthyroid
36
hyper or hypocalcemia - HTN
hyper
37
what is IV calcium diluted in
D5W, never NS!
38
hyponatremia risk factors | 6
1. GI loss 2. SIADH 3. adrenal insuff. 4. NPO status 5. water intoxication 6. excessive diaphoresis
39
hyper or hypocalcemia - polyuria, polydipsia
hyper
40
hypocalcemia interventions | 5
1. seizure precautions 2. IV calcium 3. daily calcium supplements 4. vitamin D therapy 5. monitor for OH

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