electrolyte - group 3 by Julie Leavitt https://padlet.com/jleavitt5/qbdzigsidi0io8so N3 Group 3 en-us 2022-09-02 21:20:16 UTC 2022-09-07 20:48:43 UTC hello@padlet.com https://padlet.net/icons/png/1f631.png Lab value range jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180468 <9 mg/dL

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180468 Causes jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180469 Chronic alcoholism

Malnutrition, starvation

Diarrhea

Celiac disease, Crohn’s disease

Aluminum-based laxative abuse

Drugs (diuretics, aminoglycoside abx)

Citrate (blood products)

Prolonged parenteral nutrition therapy

Burns, sepsis

Alkalosis 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180469 S/sx jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180470 Muscle twitching, tremors

Hyperactive reflexes, painful muscle contractions

Laryngeal stridor

EKG changes

Mood changes

Nausea, vomiting, diarrhea

Possible positive Chvostek’s sign

Reduced motility, constipation, paralytic ileus

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180470 Treatment jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180471 If patient has hyponatremia with hypovolemic volume, treat with 0.9% NS or LR. If patient is hyponatremia with hypertonic dehydration, treat with fluid restrictions. Acute hyponatremia treat with hypertonic solution. Administer salt tablets

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180471 Treatment jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180472 Magnesium sulfate, magnesium-containing antacids, foods high in Mg

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180472 Interventions jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180473 Monitor EKG, respiratory status, safe environment,  protect patient from injury, seizure precautions, avoid foods high in phosphorous, collaborate with dietician

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180473 Lab Value Range jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180474 <3.5 mEq/L]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180474 Causes jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180475 Adrenal insufficiency

Renal insufficiency

Use of K+ sparing diuretic 

Metabolic acidosis

Respiratory acidosis

Insulin deficiency

Burns

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180475 S/sx jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180476 Bradycardia, hypotension

Numbness and tingling 

Hyperactive deep tendon reflexes

Muscle cramps, tetany

Mental status change

Positive Trousseau and Chvostek sign

Hyperactive bowel sounds, diarrhea

Increased bleeding and bruising

Brittle nails, dry hair

Prolonged QT interval, lengthened ST segment

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180476 Treatment jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180477 Calcium gluconate, calcium chloride, vitamin D supplements, phosphorous-binding antacids, if hypomagnesium is present administer magnesium sulfate. 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180477 Interventions jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180478 Cardiac monitoring, monitor I&Os, daily weight, neurological checks, consult with dietician, stop thiazide diuretics switch to loop diuretic, 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180478 Lab value range jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180479 >2.5mEq/L

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180479 causes jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180480 Hyperthyroidism

Immobility

Vitamin D intoxication

Drug toxicity (thiazide diuretics and lithium)

Hypophosphatemia

Hyperparathyroidism

Steroids therapy

Bone malignancy 

Kidney failure

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180480 S/Sx jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180481 Weak, thready pulse

EKG changes-ST segment depression, flattened t-wave

Dyspnea, shallow breathing

Decreased deep tendon reflex, muscle cramps

Anxiety, confusion

Decreased bowel sounds, constipation

Nausea, vomiting

Fatigue, lethargy

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180481 Treatment jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180483 Calcium gluconate, regular insulin and dextrose, sodium polystyrene sulfonate (Kayexalate),

Sodium carbonate if patient has acidosis 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180483 Interventions jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180484 Monitor V/S, EKG changes, check of alkalosis, protect from injury, monitor potassium levels

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180484 Lab value range jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180485 < 135 mEq/L]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180485 Causes jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180486 Impaired thirst mechanism

Profuse sweating, dehydration

Diarrhea

Diabetes insipidus

Cushing’s syndrome

Kidney failure

Corticosteroids

NPO

Fever, increased rate of metabolism

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180486 S/Sx jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180487 Tall, peaked T waves, widened QRS

Dysthymias

Nausea, vomiting, diarrhea

Abdominal cramping

Muscle cramping

Irritability

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180487 Treatment jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180488 Calcium gluconate, possible dialysis, diuretics, rehydration to increase urine output

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180488 Interventions jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180489 Monitor I&Os, daily weight, consult with dietician, protect patient from injury, monitor for neurological changes 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180489 Lab value range jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180491 >145 mEq/L

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180491 causes jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180492 Congestive heart failure, cirrhosis, SIADH

DKA

Excessive use of hypotonic solutions

Inadequate dietary intake

Anorexia

Diuretics

Decreased secretion of aldosterone 

Kidney disease

Vomiting, diarrhea, excessive suctioning, irrigation of NG tube with water, repeated use of tap water enemas

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180492 S/sx jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180493 Tachycardia, hypotension

Dry and sticky mucous membranes

Twitching, tremor, hyperreflexia

Restlessness, agitated, confused

Lethargic

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180493 Treatment jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180494 Potassium supplements (review medication), potassium rich diet (list foods)]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180494 Interventions jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180495 Monitor EKG, potassium levels, dialysis if patient does not respond to other treatments

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180495 Lab value range jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180497 >11 mg/dL]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180497 Causes jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180498 Inadequate intake

Excessive loss of GI fluid

Diabetes insipidus

Starvation

Heat-induced diaphoresis

Corticosteroid use

Alkalosis

Cushing’s disease

Hyperaldosteronism 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180498 S/sx jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180499 Edema, increased ICP

Muscle cramps

Confusion, change in LOC

Nausea, vomiting, abdominal pain

Hyperreflexia, muscle twitching

Tachycardia

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180499 Treatment jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180500 Hypertension

Decreased ST segment, shortened QT interval

Polyuria, polydipsia

Hypotonic bowel sounds

Decreased deep tendon reflex, muscle weakness

Personality changes

Lethargy, headache, confusion

Fatigue

Nausea, vomiting, abdominal pain 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180500 Interventions jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180501 Cardiac monitoring, monitor deep tendon reflexes, monitor for hypocalcemia and hypokalemia, and metabolic alkalosis, consult with dietician 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180501 Lab value range jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180502 <1.5mEq/L

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180502 Causes jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180503 Hypoparathyroidism

Hypomagnesemia (<1mg/dL)

Multiple blood transfusions

Acute pancreatitis

Vitamin D deficiency

Alcoholism

Chronic diarrhea

Burns

Alkalotic states 

Renal disease

Hypoalbuminemia

Elevated phosphorous 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180503 Treatment jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180504 Isotonic solutions, hypotonic solutions, diuretics, sodium restrictions

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180504 Interventions jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180505 Monitor I&Os, daily weights, maintain safe environment, consult with dietician

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180505 Lab Value Range jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180506 >5 mEq/L

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180506 Causes jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180507 Renal failure

Overuse of magnesium containing antacids

TPN

Hemodialysis using hard water dialysate

Adrenal insufficiency

Magnesium treatment in preeclampsia 

DKA

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180507 S/sx jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180509 Decreased deep tendon muscle reflexes

Hypotension

Bradycardia

Flushing and sensation warmth

EKG changes

Weakness

Lethargy

Respiratory depression

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180509 Treatment jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180510 Decrease Ca+ intake, eliminate use of calcium carbonate antacids, calcitonin, 0.9% NS, corticosteroids, phosphate salts

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180510 Interventions jleavitt5 https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180511 Monitor cardiac, assess deep tendon reflexes, monitor I&Os, consult with dietician, monitor respiratory function 

]]> 2022-09-02 21:20:16 UTC https://padlet.com/jleavitt5/qbdzigsidi0io8so/wish/2281180511