F and E nur 165

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Author:
jillmwashington
ID:
252830
Filename:
F and E nur 165
Updated:
2014-05-19 10:09:07
Tags:
fe nur 165
Folders:
fe,nur,165
Description:
mtc nur 165 fluids and electrolytes
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  1. Hypernatremia S/S
    • You are
    • S - SKIN FLUSHED
    • A - AGITATION
    • L - LOW GRADE FEVER
    • T - THIRST
    • You are
    • F - FEVER (LOW GRADE) FLUSHED SKIN
    • R - RESTLESS (IRRITABLE)
    • I - INCREASED FLUID RETENTION/ INCREASED BP.
    • E - EDEMA (PERIPHERAL AND PITTING)
    • D - DECREASED URINARY OUTPUT, DRY MOUTH
  2. Hyponatremia  S/S
    • S - STUPOR/COMA
    • A - ANOREXIA, N/V
    • L - LETHARGY
    • T - TENDON REFLEXES DECREASED

    • L - LIMP MUSCLES WEAKNESS
    • O - ORTHOSTATIC HYPOTENSION
    • S - SEIZURES/HEADACHE
    • S - STOMACHE CRAMPING
  3. Hyperkalemia CAUSES
    • M - MEDICATION (ACE INHIBITORS, NSAIDS)
    • A - ACIDOSIS (METABOLIC, RESPIRATORY)
    • C - CELLULAR DESTRUCTION (BURNS,               TRAUMATIC INJURY)
    • H -HYPOALDOSTERONISM, HEMOLYSIS
    • I - INTAKE, EXCESSIVE
    • N - NEPHRONS, RENAL FAILURE
    • E - EXCRETION, IMPAIRED
  4. Hyperkalemia S/S
    • M - MUSCLE WEAKNESS
    • U - URINE, OLIGURIA, ANURIA
    • R - RESPIRATORY DISTRESS
    • D - DECREASE CARDIAC CONTRACTILITY
    • E - ECG CHANGES (PEAKED T WAVE)
    • R - REFLEXES, HYPERREFLEXIA, AREFLEXIA (FLACCID)
  5. Hyperkalemia TREATMENT
    • C - CALCIUM GLUCONATE
    • B - BICARBONATE
    • I - INSULIN
    • G -GLUCOSE
    • K - KAYEXALATE
    • D - DIALYSIS
  6. Hypokalemia S/S
    • S - SKELETAL MUSCLE WEAKNESS
    • U - WAVE EKG CHANGES
    • C - CONSTIPATION
    • T - TOXIC EFFECTS OF DIGOXIN
    • I - IRREGULAR WEAK PULSE
    • O - ORTHOSTATIC HYPOTENSION
    • N - NUMBNESS (PARESTHESIA)
  7. Hypercalcemia S/S
    • GROANS (constipation)
    • MOANS (psychic moans = fatigue, lethargy,
    •              depression)
    • BONES (bone pain)
    • STONES (kidney stones)
    • Psychiatric OVERTONES (including depression
    •              confusion)
    • Can't pick up the PHONE! (muscle weakness, lack of coordination)
  8. Hypocalcemia S/S
    • CATS go NUMB
    • C - CONVULSIONS
    • A - ARRHYTHMIAS
    • T - TETANY (+TROUSSEAU'S, +CHVOSTEK'S)
    • S - SPASMS, SEIZURES, STRIDORS

    NUMBNESS IN THE FINGERS
  9. ECF ELECTROLYTES
    • SODIUM
    • CHLORIDE
    • BICARBONATE
    • CALCIUM
  10. ICF ELECTROLYTES
    • POTASSIUM
    • MAGNESIUM
    • PHOSPHORUS
    • CALCIUM
  11. HYPERTONIC
    increased solutes(concentration), decrease solution
  12. HYPOTONIC
    decrease solutes (concentration) than the solution
  13. CALCIUM-RICH FOODS
    • canned sardines and salmon
    • dairy products (milk, cheese, yoghurt)
    • green, leafy vegetables
    • legumes
    • molasses
    • nuts
    • whole grains
  14. CHLORIDE-RICH FOODS
    • canned vegetables
    • eggs
    • fresh fruits and vegetables
    • milk
    • processed meats
    • salty foods
    • table salt
  15. SODIUM-RICH FOODS
    • canned soups and vegetables
    • cheese, milk, butter
    • ketchup
    • processed meats (chicken,pork, beef)
    • table salt
    • salty snack foods
    • seafoods
    • bread
    • soy sauce, mustard
  16. POTASSIUM-RICH FOODS
    • chocolate
    • dried fruits, nuts, and seeds
    • fruits (oranges, bananas, avocados, apricots, cantaloupe)
    • meats
    • vegetables (beans, potatoes, mushrooms, tomatoes, celery)
  17. MAGNESIUM-RICH FOODS
    • dark, green, leafy vegetables
    • nuts
    • legumes
    • whole grain breads and cereals
    • seafood
    • chocolate
    • cocoa
  18. PHOSPHORUS-RICH FOODS
    food from animal sources (meat, fish, poultry, eggs, milk)

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