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MTC 265 F&E

Fluid And Electrolytes - Nursing 265

HypoPhos- Caused by * Aluminum antacids * MG antacids *R. Alk * alcoholism * renal failure * HyperParathyroidism * IV insulin
HypoPhos- S&S * decreased: Sv, CO, P, BP, Resp (week muscles) * bruised, bleeding *stiff, trouble speaking *irritable, seizure, coma, confusion
HypoPhos- Interventions * D/C antacids, du=iuretics, Calcium * give vit D * check V/S, I&O, LOC * monitor for ronchi, crackles
HypoPhos- foods for Eat: fish, meet, nuts, grain
HypoPhos..... Decreased Energy problems!
HyperPhos- Caused by HypoParathyroidism, Pts w/: (DKA, Renal failure, chemo, rhabdomylosis, ESRD, acidosis)
HyperPhos- S&S * tetany, troussau, chvostek --> (numb, spasm, pain) * hyperflexia, seizure, flacid paralysis, weak, tachyCardia, V/D, cramps
HyperPhos- interventions *give Phos binders (Phoslow) w/ meal * give aluminum antacids (basogel,ampogel) * give TUMS. * correct Ca deficiency by increaseing Ca. * watch for hi Ca levels--> numb mouth, hyperactive relflex, cramps * assess for constipation *No lax/enimas