|This electrolyte helps maintain action potentials, regulates protein synthesis, and glucose use and storage. It is also a check and balance mechanism for hydrogen ions ||Potassium|
|This electrolyte is present in high amounts in the following foods: advocados, cantaloupe, bananas, and raisins ||Potassium|
|Vomiting, diahrrea,GI suctioning, NPO status, anorexia nervosa,or too much insulin could result in what electrolyte imbalance? ||Hypokalemia|
|Weakness, decreased tendon reflex, leg cramps, fatigue, U waves on ekg, confusion, lethargy,and polyuria can be indicators of what electrolyte imbalance? ||Hypokalemia|
|Name possible interventions for hypokalemia ||p.o. supplements, IV alloquats or additive to IV solution, potassium sparing diuretic, d/c loop or thiazides, high potassium diet|
|The following conditions are possible causes of this electrolyte imbalance: acidosis, burns, crushing injuries, or renal failure ||Hyperkalemia|
|slow irregular heart rate, dysrythmias, muscle twitches, parasthesia,and diarrhea can all be indications of which electrolyte imbalance ||Hyperkalemia|
|What interventions might be used on a client with hyperkalemia? ||eliminate potassium supplements or potassium rich foods, give loop diuretics, give cation exchange resins(kayexelate), sodium bicarbonate via IV, Glucose and Insulin, Calcium IV, or dialysis|
|This electrolytes main functions are as follows: to maintain ECF osmolarity and ECF volume, transmission of nerve impulse, skeletal muscle contraction and cardiac contractility and renal concentrating system. ||Sodium|
|This electrolyte could be found in high quantities in the following foods: soy sauce, pork, cheese, etc. ||Sodium|
|This electrolyte is primarily regulated by the secretion of aldosterone ||Sodium|
|Excessive diaphoresis, diuretics, NPO status, SIADH, tap water enemas or flushing NG tubes with water could cause which electrolyte disorder ||Hyponatremia|
|Personality changes, headaches,ICP, weakness,and decreased muscle tone are all indicators of this electrolyte disorder ||Hyponatremia|
|Name some interventions that might be used to correct hyponatremia ||IV therapy(type would depend on cause), osmotic diuretics, ADH antagonists such as Lithium, Sodium Chloride tablets, increase oral intake of sodium with slight fluid restriction|
|Hyperaldosteronism, steroid use, renal failure, NPO status, fever or hypoventilation could cause the following electrolyte imbalance ||Hypernatremia|
|Depending on the cause this electrolyte imbalance can manifest with short attention span, agitation, confusion , and twitching or lethargy, drowsiness, stupor, coma, and twitching ||Hypernatremia|
|What interventions might be used for a client with hypernatremia ||IV Therapy(type depends on cause), diuretics, sodium and fluid restrictions, and dialysis|
|This electrolyte has a normal serum level of 98-107. ||Chloride|
|The functions of this electrolyte are as follows: maintenance of acid base balance, plasma electroneutrality, works with sodium to maintain fluid balance ||Chloride|
|What are some interventions to treat the client with hypochloremia ||IV therapy with 0.9% NS, ammonium chloride to treat metabolic alkalosis, oral replacement|
|The main functions of this electrolyte are as follows: formation and structure of bone and teeth, cell membrane permeability, impulse transmission and contraction of cardiac, smooth and skeletal muscle, clotting ||Calcium|
|A diet rich in this electrolyte would include the following items: yogurt, milk, cheese, rhubarb, and collard greens. ||Calcium|
|Thyrocalcitonin(TCT) is secreted from the thyroid gland with which electrolyte imbalance ||Hypercalemia|
|These conditions might result in which electrolyte imbalance: lactose intolerance, celiacs disease, chron's disease,diarrhea,excessive wound drainage,parathyroid problems, etc. ||Hypocalcemia|
|This electrolyte imbalance might manifest in the following ways: parasthesia, spasms in limp from distal to proximal, decreased blood pressure, + Trousseau's and Chvosteks sign ||Hypocalcemia|
|What are some interventions for the client experiencing hypocalcemia ||Oral calcium supplements, IV calcium, Vitamin D, give a muscle relaxant, increase calcium in diet, reduce environmental stimuli, prevent injury.|
|This electrolyte imbalance could be caused by the following conditions: renal failure, thiazide diuretics, hyperparathyroidism, cancer, and dehydration ||Hypercalcemia|
|This imbalance might manifest in the following ways: shallow ineffective respirations, disorientation, lethargy, coma, skeletal muscle weakness, increased urine output, with early stages increased heart rate, increased BP, but with late stages decreased h ||Hypercalcemia|
|What interventions might the nurse provide for the client experiencing hypercalcemia ||IV therapy(0.9%NS), hold all meds(IV or oral) containing vitamin D or calcium, loop diuretics,calcium chelators(like plicamycin),calcium resorption inhibitors(like calcitonin), dereased intake of calcium rich food,dialysis|
|The normal serum level for this electrolyte is 1.5-2.5 ||Magnesium|
|This electrolytes functions include muscle contraction,carbohydrate metabolism, DNA and protein synthesis when present intracellularly and blood cagulation and skeletal muscle contractility when present extracellularly ||Magnesium|
|This electrolyte is found in high quantities in these foods: nuts, vegetables,fish, whole grains, and in avocados ||Magnesium|
|Parathyroid hormone (PTH) stimulates the release of what electrolyte from the bone ||Magnesium|
|This electrolyte imbalance might show the following symptoms: dysrythmias, decreased BP, shallow respirations, twitches, hyperreflexia,seizures, irritability and confusion ||Hypomagnesemeia|
|What interventions might a client with hypomagnesia ||d/c diuretics,aminoglycosides,and phosphorus, IV replacement, avoid oral replacement, and eat a diet rich in magnesium|
|This electrolyte imbalance might display the following signs and symptoms: decreased heart rate and BP, drowsiness leading to coma, decreased deep tendon reflex,and weak voluntary muscle contractions ||Hypermagnesia|
|This electolyte has a normal serum value of 2.7-4.5 ||Phosphorus|
|The function of this electrolyte is acid-base buffering and calcium homeostasis. ||Phosphorus|
|This electrolyte can be found in in high quantities in these foods:nuts, legumes,dairy products, red meat,organ meat, bran, and whole grains ||Phosphorus|
|This electrolyte imbalance could manifest with the following signs and symptoms: decreased CO, myocardial depression,skeletal muscle weakness,and decreased bone density ||hypophosphatemia|
|What interventions might be used with a client with hypophosphatemia ||d/c meds that contribute to the problem such as antacids, osmotic diuretics, and calcium supplements, oral replacement, IV replacement-only if below 1(very rare),eat diet rich in phosphorus and low in calcium|
|This electrolyte imbalance can be caused by renal insufficiency, cancer treatments, increased intake, or hypoparathyroidism ||Hyperphosphatemia|
|What interventions might you expect to see for a client experiencing hyperphosphatemia ||This imbalance causes few direct problems but most issues due to corresponding hypocalcemia. Interventions would be to treat low calcium|
|Active transport, the kidneys, and ph all help regulate this electrolyte ||Potassium|
|Electrolyte imbalance where Aldosterone secretion is stimulated and ADH and Atrial natriuretic peptide secretions are inhibited.
|The electrolyte that the kidneys try to balance with HCO3- levels.
|Thyrocalcitonin (TCT) is secreted by the thyroid gland with this imbalance.
|Increased PTH secretion results in a decrease of the blood level of this electrolyte.
|Intracellular dehydration is caused by this electrolyte imbalance.
|This is a drug that binds with potassium to cause the patient to eliminate it.
|This medication binds with Calcium to treat hypercalcemia ||What is the Ca++ chelator – plicamycin (Mithracin)?|
|This type of diuretic is added to the medication regime of a CHF patient being treated with Lasix who is having problems with hypokalemia.
||Potassium Sparing Diruetics|