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Examples of third spacing - CORRECT ANS>> Ascites, edema, burn
Dilutional Hyponatremia - CORRECT ANS>> Excessive fluid intake
Edema, confusion, weight gain Treatment: decrease fluid intake "swells, rings tight"
True Hyponatremia - CORRECT ANS>> Loss of fluid and Na Weight loss, DRY,
hypotensive, tachy, DEHYDRATED
Tx: replace both sodium and water
Hypernatremia Causes - CORRECT ANS>> Severn unresponsive to traditional
interventions, Na IV fluids, DI, tube feeds
Hypernatremia Symptoms - CORRECT ANS>> DRY, thirst, tachy, oliguria(compensating)
Hypernatremia treatment - CORRECT ANS>> Decrease Na and replace fluids
Cl - CORRECT ANS>> Acts like Na Buffer to maintain pH
Hyperkalemia Causes - CORRECT ANS>> Cell wall destruction Increased intake
K sparing diuretics Renal failure Acidosis
Hyperkalemia symptoms - CORRECT ANS>> Irritable muscles Dysrhythmias
Hyperactive bowels/bladder- diarrhea, frequency, urgency
, Hyperkalemia tx - CORRECT ANS>> Limit intake Kayexalate
Ca gluconate
IV glucose Dialysis
Hypokalemia Causes - CORRECT ANS>> Vomiting Diarrhea
NG suction Decreased PO Burns
K wasting diuretics
Hypokalemia Symptoms - CORRECT ANS>> Muscle flaccidity- not there to stimulate
Weakness Constipation Alkalosis-resps Shallow Resps Cardiac arrest
Hypokalemia Tx - CORRECT ANS>> Supplement
Foods high in potassium - CORRECT ANS>> Citrus fruits and dried fruits, bananas,
watermelon, potatoes, legumes, tea and peanut butter, avocado
Calcium purpose - CORRECT ANS>> Sedative at nerve level Coagulation- look at level
with invasive procedures!!
Bone/teeth strength
Hypercalcemia Causes - CORRECT ANS>> Cancer Metastatic bone disease
hyperparathyroidism Thiazide diuretics Excessive vitamin D
Hypercalcemia Symptoms - CORRECT ANS>> Sedation Lethargy
Hypoactive reflexes Slurred speech Impaired memory