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Fluids and Electrolytes Part 2
2nd semester fluid & electrolytes
24
Nursing
Undergraduate 1
03/02/2011

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Cards

Term
Causes of hyponatremia
Definition
CHF, excessive intake of water, decreased aldosterone, loss of bile, vomiting
Term
Causes of hypernatremia
Definition
Fever, Resp. infection, watery diarrhea, inadequate water intake, excessive sweating, failure of kidneys
Term
S/S of hyponatremia
Definition
CNS and neuromuscular changes, confusion and altered LOC, anxiety, decreased BP and shallow RR, diminished deep tendon reflexes
Term
S/S of hypernatremia
Definition
Dry mm, intense thirst, fever, weakness, lethargy, and decreased urine output
Term
nursing interventions for hyponatremia
Definition
Restrict water for pts with CHF, increase sodium in diet, administer IV fluids, give a diuretic (Lasix), 3% Saline
Term
nursing interventions for hypernatremia
Definition
Encourage fluid intake, give water between tube feedings, restrict sodium, oral or IV water intake, NS or 5% Dextrose in 1/2NS solution
Term
Causes of hypokalemia
Definition
Vomiting, using diuretics, overuse of gastric suctioning, metabolic alkalosis
Term
Causes of hyperkalemia
Definition
Diarrhea, Addison's disease, metabolic acidosis, diabetes mellitus, burns or tissue damage, taking potassium supplements
Term
S/S for hypokalemia
Definition
Abdominal pain,cardiac dysrhythmias, muscle weakness, decreased reflexes, lethargy, paralytic ileus
Term
S/S of hyperkalemia
Definition
Decreased HR, explosive diarrhea; muscle cramps and weakness, paresthesia, Cardiac dysrhythmias.
Term
Nursing interventions for hypokalemia
Definition
Increase potassium, give potassium chloride if ordered, Assess renal function,
Term
Nursing interventions for hyperkalemia
Definition
Kayexelate when renal failure, IV calcium gluconate, DO NOT LET FLOW RATE GO BELOW 10 mEq/hr, glucose plus insulin mix
Term
Causes of hypocalemia
Definition
Diarrhea, overuse of laxatives containing phosphorus, Hypoparathyroidism, Not enough sunshine, GI wound drainage
Term
Causes of hypercalcemia
Definition
Excessive intake of calcium, hyperparathyroidism, Excess intake of vitamin D, bone tumors, multiple fracturs, immobility
Term
S/S of hypocalcemia
Definition
paresthesia around the mouth, seizures, muscle spasms, tetany, Chvostek's or Trousseaus's signs, cardiac dysrhythmias, laryngeal spasms
Term
S/S of hypercalcemia
Definition
Muscular weakness, constipation, polyuria, polydipsia, renal calculi, bone pain
Term
Nursing interventions for hypocalcemia
Definition
Initiate seizure precautions, monitor for fractures, increase foods that have dairy and soy, calcium gluconate and D5W
Term
Nursing interventions for hypercalcemia
Definition
Administer diuretics, encourage high fluid intake, 0.9% Saline
Term
Causes of hypomagnesia
Definition
Diarrhea, alcoholism, malnutrition, diabetic ketoacidosis
Term
Causes of hypermagnesia
Definition
Renal failure
Term
S/S of hypomagnesia
Definition
hypocalcemia, hypokalemia, tremors, insomnia, hyperactive reflexes
Term
S/S of hypermagnesia
Definition
muscular weakness, paralysis, ataxia, drowsiness, and confusion, hypotension
Term
Nursing interventions for hypomagnesia
Definition
Give calcicum, increase magnesium in the diet
Term
Nursing interventions for hypermagnesia
Definition
Give calcium and diuretics
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