Acidosis relating to potassium
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hyperkalemia(K+ moves out of cells)
Hypokalemia
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A serum potassium level less than 3.5 mEq/L.
What Do You See? Hypocalcemia
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Neuromuscular - anxiety, confusion, irritability, muscle twitching,
parethesias(mouth, finges, toes) tetany
Fractures, Diarrhea, diminished respose to digoxin, EKG changes
Isotonic solution
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No fluid shift because solutins are equally concentrated
Normal saline solution(0.9% NaCl)
Lactated Ringers
D5W
What Do We See? Hypokalemia
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S.U.C.T.I.O.N - Skeletal muscle weakness, U wave, Constipation, Toxicity of
digitalis glycosides, Irregular weak pulse, Orthostatic hypotension,
Numbness(paresthesias)
Hypervolemic hyponatremia
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, water gain is greater than Na+ gain, edema occurs
What Do You Do? Hypervolemia
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Fluid and Na+ replacement
Diuerectics
Monitor vital signs
Hourly I&O
Breath sounds
Monitor ABGs and labs
Elevate HOB and give O2 as ordered
Maintain IV ccess
Skin and mouth care
daily weights
Physical abuse complications...
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Deformity
Internal damage
fractures
bruising
death
Chvostek's and Trousseau's signs.
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Give this one a try later!
hyperkalemia(K+ moves out of cells)
Hypokalemia
Give this one a try later!
A serum potassium level less than 3.5 mEq/L.
What Do You See? Hypocalcemia
,Give this one a try later!
Neuromuscular - anxiety, confusion, irritability, muscle twitching,
parethesias(mouth, finges, toes) tetany
Fractures, Diarrhea, diminished respose to digoxin, EKG changes
Isotonic solution
Give this one a try later!
No fluid shift because solutins are equally concentrated
Normal saline solution(0.9% NaCl)
Lactated Ringers
D5W
What Do We See? Hypokalemia
Give this one a try later!
S.U.C.T.I.O.N - Skeletal muscle weakness, U wave, Constipation, Toxicity of
digitalis glycosides, Irregular weak pulse, Orthostatic hypotension,
Numbness(paresthesias)
Hypervolemic hyponatremia
Give this one a try later!
, water gain is greater than Na+ gain, edema occurs
What Do You Do? Hypervolemia
Give this one a try later!
Fluid and Na+ replacement
Diuerectics
Monitor vital signs
Hourly I&O
Breath sounds
Monitor ABGs and labs
Elevate HOB and give O2 as ordered
Maintain IV ccess
Skin and mouth care
daily weights
Physical abuse complications...
Give this one a try later!
Deformity
Internal damage
fractures
bruising
death
Chvostek's and Trousseau's signs.
Give this one a try later!
