Electrolytes

Card Set Information

Author:
jheneale
ID:
43409
Filename:
Electrolytes
Updated:
2010-10-19 15:03:32
Tags:
nrs
Folders:

Description:
Electrolyte Imbalances
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  1. HYPOnatremia (sodium)
    -Low sodium
    -Use of diuretics
    • Assess:
    • - Nausea
    • - Vomiting
    • - Muscle cramp & twitching
    • Interventions:
    • - Foods high in sodium
  2. HYPERnatremia (sodium)
    - Water deprivation
    - Intake large in salt
    - Profuse sweating
    • Assess:
    • - Thirst
    • - Elevated temp
    • - Dry, swollen tongue, sticky mucous memb
    • - Hallucination
    • Interventions:
    • - Monitor change in orientation/ behavior
    • - Look for excess thirst & increased temp
  3. HYPOkalemia (potassium)
    - D, V
    - Steroid admin & antibiotics
    • Assess:
    • - Fatigue
    • - decreased bowel motility
    • - Arrythmias
    • - Polyuria,nocturia, dilute urine
    • - Hypotension
    • Interventions:
    • - educate about laxative & diuretic abuse
  4. HYPERkalemia (potassium)
    - High K+ intake
    - Renal insufficency
    • Assess:
    • - N, D
    • - Parathesis on face, tongue, feet, hands
    • - Flaccid muscle paralysis
    • Interventions;
    • - Caution foods high in K+
    • - NO PEE NO K+
  5. HYPOcalcemia (calcium)
    - Malabsorbption
    - Vitamin D deficiency
    • Asses:
    • - Trousseau's & Chvostek's signs
    • - Numbness & tingling of fingers & toes
    • - Spasms of Laryngeal muscles
    • Intervention:
    • - Monitor condition of airway
    • - Discuss calcium loss in nicotine & alcohol abuse
  6. HYPERcalcemia (calcium)
    - Prolonged immobilization
    - Large dose of vitamin D
    - Thiazide diuretics
    • Assess:
    • - Weakness
    • - Constipation
    • - Decreased memory and attention span
    • - Polyuria
    • - Renal stones
    • Interventions:
    • - Increase mobilization
    • - Discourage excess consumption of milk
    • - Force fluids to prevent formation of renal stones

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