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Electrolyte imbalances chart

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Electrolyte imbalances chart
Health/Illness Concepts (J. Sargeant Reynolds Community College)
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lOMoARcPSD|41646858
ELECTROLYTE
IMBALANCE
Hypo- natremia
Hyper- natremia
Hypo- kalemia
Hyper- kalemia
RISK FACTORS/CAUSES
MANIFESTATIONS
Excessive NG tube suctioning
Excessive diuretics
Kidney disease
HF
↓ Na intake/hypotonic 昀氀uid excessive
Excessive Na intake/↓ H2O
Excessive glucocorticosteroid usage
Kidney failure
Cushing’s
Diabetes insipidus
Heatstroke/burns
Excessive sweating
LAB VALUES
NURSING INTERVENTIONS
***ASSOC W/ FVO
* THINK FVO: ALL LABS ↓
PO: ↑ intake of Na: beef broth, tomato juice
↑ HR, bounding pulse, BP norm/↑,
ortho-hypo, dizziness
Hypothermia
Headache, confusion, lethargy
↓ DTR
Seizure
↑ motility, abdominal cramps
***ASSOC W/ FVD
↓ urine speci昀椀c gravity
IV: hypertonic (severe), isotonic (mild): LR,
NS
* THINK FVD: ALL LABS ↑
MONITOR: I & O, daily weights, VS, LOC (fall
precautions)
PO: ↑ 昀氀uids
Thirst, dry mucus membranes
Hyperthermia, 昀氀ushed “red & rosy” skin
↑ HR, ortho-hypo
N/V/D
Seizures, coma
Muscle weakness, ↑ muscle tone
↑ urine speci昀椀c gravity
MEDS: loop diuretics: Lasix
F- fever
R- restless, irritable
I- ↑ 昀氀uid retention, ↑ BP
E- edema (3rd spacing)
D- ↓reased urine output
*** Think LOW & SLOW
Overuse of diuretics (loop & thiazide)
NPO
Loss via GI: N/V/D, NG suctioning, prolonged
laxative/enema use
Kidney disease (impairs K reabsorption)
↓ Mg level
Shift of K: ECF —> ICF
Metabolic alkalosis
Shallow RR, diminished breath sounds
↓ BP, thready pulse
Lethargy, confusion
Ortho-hypo
↓ bowel sounds, ↓ motility
Muscle 昀氀accidity
↑ urine output
Excessive salt substitutes
K-sparing diuretics (spironolactone)
Losartan, lisinopril
Older adults: ↓ renin & aldosterone, ↑ use salt sub, &
ace inhibitors
Rapid/excessive K replacement
Kidney disease: fail to secrete adequate bicarbonate
Metabolic acidosis: pushes K from ICF —> ECF —>
dehydration —> body compensates by holding onto K
Digoxin & Beta-blockers: block K from entering cell
Dysrhythmias: Torsades De Pointes
Hyperglycemia
*** Think TIGHT & CONTRACTED
↓ BP
severe v-昀椀b
Resp failure
Restless/irritable
↑ motility
Premature ventricular contractions
Confusion
↑ thirst & ↓ urine output
Weak/paralyzed skeletal muscles
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W/ FVO: limit 昀氀uid intake
IV: isotonic/hypotonic 昀氀uids (D5W)
ECG: 昀氀at T waves, ST
depression, U waves
PO: oranges, bananas, leafy green veggies,
avocado, salt substitutes
IV: K (IVPB ONLY!!)
MAX: 10 mEq/hr
Monitor s/s hyperkalmeia, continuous ECG
Assess: VS, K level, lung sounds, DTR
ECG: peak T waves, wide
QRS complex
Initiate fall precautions
Insulin w/ D5W
Temporary, fast
Metabolic acidosis
Sodium bicarbonate (IV infusion)
Temporary
Calcium gluconate: doesn’t treat
hyperkalemia, but prevents dysrhythmias
Kayexalate: permanent
Slow: stimulates GI system
Dialysis by central line (SEVERE: ≥6)
w/ kidney disease
lOMoARcPSD|41646858
Hypo- calcemia
Hypoparathyroidism —> ↑ PTH
Vitamin D de昀椀ciency (needed to absorb calcium)
↑ calcitonin
Hyper-calcemia
Excessive Ca intake/vitamin D overdose
Hyperparathyroidism —> ↓ PTH
Osteosarcoma: bone metastasis
Hypo-magnesemia
#1 cause: alcoholism
Insu昀昀icient Mg intake/absorption: malnutrition, NPO,
V/D, bulimia
Diuretics
DKA, hyperglycemia
Hypoparathyroidism —> ↑ PTH
Hypocalcemia
Hyper-magnesemia
Tetany
Laryngeal spasm —> stridor (respiratory
alkalosis; anxiety)
numbness/tingling (mouth & extremities)
Dysrhythmias (prolonged QT interval)
* Trousseau’s & Chvosteck’s signs
Weakness/fatigue
Bone pain
↓ nerve excitability: lethargy, confusion,
hallucinations, seizures, coma
Kidney stones
↑ urination
Excessive Mg intake (PO/IV)
Renal insu昀昀iciency/failure (↓ Mg excretion)
Hyperparathyroidism —> ↓ PTH
Hypo-phosphatemia
* Inverse of Ca*
Hyper-phosphatemia
Chronic alcohol use
Hyperparathyroidism —> ↓ PTH
DKA
Malnutrition, vitamin D de昀椀ciency
PTN w/ inadequate replacement of Ph
Excessive use of Ph depleting antacids
Respiratory alkalosis
* Inverse of Ca*
↑ HR
↑ BP
↑ DTR
Confusion
Vertigo
Trousseau’s & Chvosteck’s signs (more w/
hypocalcemia)
* THINK SEDATION
Confusion —> lethargy
↓ DTRs
Muscle paralysis
Respiratory paralysis
Cardiac/respiratory arrest
Facial 昀氀ushing
↓: HR, BP, RR, motility
CNS depression: confusion —> coma
Dysrhythmias, HF
Muscle weakness, ↑luding respiratory
Seizures
Rickets (caused by vit D de昀椀ciency):
hypercalcemia s/s
Osteomalacia: bone malformation
#1 cause: AKI or chronic kidney disease
Hypoparathyroidism —> ↑ PTH
Excessive phosphate intake: phosphate containing
laxatives, red meat (liver/organ), chicken, beans, nuts,
pumpkin seeds, sun昀氀ower seeds
Excessive vitamin D intake: used to absorb pH
Tetany —> seizures
Muscle cramps, ↑ DTRs
Parenthesis
↓ BP
Dysrhythmias
Calcium deposits —> organ dysfunction
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↑ Ph
May cause ↓ Mg
IV: Calcium gluconate
Vitamin D supplement
Tx of respiratory alkalosis (anxiety)
↓ Ph
May cause ↑ Mg
#1 priority: ↑ 昀氀uid intake to ↓ risk kidney
stones
Calcitonin: ↑ renal Ca excretion
↓ Ca in diet
↑ weight bearing activity: ↓ risk fractures
↓ Ca
IV: magnesium sulfate
Watch for OD: bradypnea, absent DTR, resp
depression)
Seizure precautions
PO: magnesium oxide
↑ Ca
IV: calcium gluconate
Isotonic 昀氀uids (IF Na LEVEL = NORM): NS
Hypotonic (IF Na LEVEL = ↑)
Diuretics
↓ Mg intake
↑ Ca
PO supplementation: dairy, beans, nuts,
grains, seafood, 昀椀sh
IV: Na or Ph phosphate
Normally NaPh over 4-6 hr
Monitor Ca & Ph levels q 6-12 hr
↓ Ca
Tx underlying cause
Correct hypocalcemia: calcium gluconate
Force diuresis: 昀氀uids & diuretics
Hemodialysis
Restrict Ph intake
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