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fluid and electrolytes

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Question
Answer
Normal Mg level   1.5-2.5  
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Normal K level   3.5-5  
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Normal Ca level   8.5-10.5  
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S/S of hypomagnesmia   anorexia, neruo irritability, depression, disorientation  
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S/S of hypermagnesmia   flushing, hypotension, lethargy, hypoactive reflexes, depressed RR, bradycardia  
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S/S of hypokalemia   fatigue, nausea, decreased GI, flat T waves on ECG, DYSRHYTHMIAS  
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S/S of hyperkalemia   DYSRHTHMIAS, bradycardia, msucle weakness  
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S/S of hypocalcemia   tingling, convulsions, positive Trousseau & Chvostek sign, diarrhea  
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S/S of hypercalcemia   constipation, muscle weakness, DYSRHYTHMIAS  
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Normal pH   7.35-7.45  
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Normal CO2   45-35  
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Normal HCO3   22-26  
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Cause of resp acidosis   hypoventilation, COPD, pneumonia  
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Cause of met acid   Renal failure, shock, DKA  
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Cause of res alk   Hyperventilation, mechanical ventilation  
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Cause of met alk   Vomitting, excessive Gi suctioning, diuretics  
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What electrolyte decrease clacium level?   phosphate  
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What is the main postive cation in ICF?   potassium (K)  
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What is the main positive cation in ECF?   Sodium (Na)  
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Normal Na level   135-145  
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S/S of hypernatremia   thirst, increase temp, dry swollen tounge, weakness, restlessness  
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S/S of hyponatremia   decreased skin turgor, dry mouth, neuro changes, abdominal pain  
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treatment for hyponatremia   restrict fluids  
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tx for hypernatremia   hypotonic solution, diuretic  
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tx for hypokalemia   incrase dietary potassium  
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tx for hyperkalemia   iv ca gluconate, kayexelate, iv reg insulin + D50  
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tx for hypermagnesmia   iv ca gluconate, loop diuretic  
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tx for hypomagnesmia   dietary  
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tx for hypocalcemia   calcium supplements  
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tx for hypercalcemia   phosphate, lasix, flush out  
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What is done to compensate for met acid   Kussmaul breathing  
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lab vaules for anemics   hgb <10, hct <36, RBC <4  
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erythropoesis   rbc production  
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hemolysis   destruction of rbc  
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neutropenia   neutrophil count <1000  
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leukopenia   wbc < 4000 or 4  
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pancytopenia   decrease rbc, wbc and platelets  
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thrombocytopenia   decrease of platelets below 150,000  
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hemophilia   sex linked defect of coag factor  
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