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

Med-Surg: Fluid & Electrolytes/3 Flashcards

(49 cards)

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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

Study These Flashcards
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
hyper or hypophosphatemia - bone pain and deformities
hypo
26
electrolytes - chemo can cause
hyperphos
27
hyper or hypomagnesemia - coma
hyper
28
hyper or hypomagnesemia - dysphagia
hypo
29
hyper or hypophosphatemia - hyperreflexia
hyper
30
hyper or hypomagnesemia - hypotension
hyper
31
electrolytes - give vitamin D | 2
hyperphosphatemia | hypocalcemia
32
electrolytes - give aluminum hydroxide
hyperphosatemia
33
hyperphosphatemia risk factors | 7
1. renal failure 2. chemo 3. acute pancreatitis 4. high vitamin D 5. hypoparathyroid 6. execessive enema use 7. acidosis
34
treat mag toxicity with what
calcium gluconate
35
hypermag risk factors | 5
1. renal failure 2. adrenal insufficiency 3. laxative abuse 4. lithium toxicity 5. extensive soft tissue injury or necrosis
36
hypomag risk factors - meds | 5
1. cisplatin 2. cyclosporine 3. aminoglycosides 4. diuretics 5. amphotericin B
37
hypophos manifestations | 7
1. paresthesia 2. muscle weakness 3. bone pain and deformities 4. chest pain 5. confusion 6. seizures 7. nystagmus
38
hyperphos. interventions | 2
1. IV NS | 2. dialysis
39
magnesium should not be administered in clients with what
renal failure
40
hyper or hypomagnesemia - cardiac arrest
hyper
41
hyper or hypophosphatemia - muscle weakness
hypo
42
hypermag interventions - meds | 2
1. IV calcium gluconate | 2. loop diuretics
43
electrolytes - acute pancreatitis can cause
hyperphos | hypocalcemia
44
hyper or hypophosphatemia - confusion
hypo
45
hyper or hypomagnesemia - paresthesias
hypo
46
hyper or hypophosphatemia - seizures
hypo
47
hypomag risk factors | 10
1. GI loss 2. alcoholism 3. hypocalcemia 4. hypokalemia 5. DKA 6. hyperparathyroidism 7. malabsorption 8. TPN 9. laxative abuse 10. acute MI
48
hyper or hypomagnesemia - drowsiness
hyper
49
hypermag - think?
slow - hypotension, bradycardia, bradypnea, hypo reflexes

ATI Comprehensive (17 decks)

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