hypophosphatemia - cause by hyperparathyroidism, chronic diarrhea, long term diuretic
use, malnutrition and severe burns
- muscle weakness
- impaired cardiac function
- poor tissue oxygenation
- failure to wean from mechanical ventilation
- depressed CNS - confusion
hypotonic fluids - lower concentration of solutes in the vasculature than in the cell
- fluid shifts into the cell to dilute the electrolytes (CELL SWELLS)
- 0.45NS
infarction ECG - Q waves form after 24 hrs of infarction
injury ECG - ST elevation
inotrope - affect squeeze
,intrarenal renal failure assessment - same as prerenal
- patient can be oliguric or non oliguric
intrerenal renal failure - actual damage to nephrons and primary tubules
is the patient tolerating the rhythm they are in?? - vitals
- SOB
- chest pain
- diaphoresis
- light headed
- change in LOC
Ischemia ECG - flipped T wave
- ST depression
isotonic fluids - tonicity equal to plasma in the body
- no fluid shifts because the solutions are equally concentrated
- LR
- NS
, - D5W
lab values for post renal failure - BUN and creatinine elevated
- no proteinuria
- variable Na
- variable specific gravity
lab values for prerenal renal failure - high urine osmolality
- low urine Na
- high urine specific gravity
- high BUN:Creatinine ration
- NO proteinuria
labs for intrarenal failure - high urine Na
- low specific gravity
- high BUN
- creatinine high
- low urine osmolality