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Electrolytes Review

Quick Electrolyte Review

QuestionAnswer
For HYPERvolemia what kind of Management is done? Recognize & Report Early Na+/Fluid RESTRICTION STOP IV infusion
Diuretic - LOOP - Furosemide - Lasix HYPOkalemia and HYPOnatremia are the biggist adverse effects
Diuretic - LOOP - Furosemide - Lasix Effective even with decrease Renal function
Thiazide (metolazone, hydrochlorothiazide) HYPOkalemia and HYPOnatremia are biggest adverse effects -Less effective with decrease renal function
HYPOatremia Risk Factors Vomiting, Diarrhea, excessive sweating, diuretics, water supplements/medication adminstration
HYPOatremia - Clinical Manifestations -Nausea abdominal cramping, Headache, neurologic changes, Decrease blood pressure
Serum NA < 115 INCREASE ICP lehargy Confusion Muscle Twitching SEIZURES
HYPOatremia managment DO NOT REPLACE > 12 mEq/L in 24 hours Water Restriction (800ml/24 hrs)
HYPERatremia Risk Factors Fluid deprivation, dehydration Diarrhea Diabetes insipidus (decrease ADH) Heat Stroke Adminstration of Hypertonic NaCl or NaHCO3 High Na Diet enteral feedsing w/o enough H20
HYPERatremia Clinical Manifestations Flushed Skin Dry, Swollen Tongue, sticky mucus membranes Peripheral edema, pulmonary edema, Increase muscle tone, Increase Deep tendon reflexes
Created by: starr8904
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