SODIUM SHOWDOWN
This electrolyte imbalance commonly causes confusion and seizures.
What is hyponatremia?
This electrolyte imbalance is associated with peaked T waves.
What is hyperkalemia?
Tingling around the mouth is commonly seen in this imbalance.
What is hypocalcemia?
0.9% normal saline is this type of fluid.
What is isotonic?
This patient should be seen first: Na 130 with headache OR K 6.2 with peaked T waves.
Who is the patient with K 6.2 and peaked T waves?
A sodium level of 154 most likely indicates this fluid problem.
What is dehydration/water deficit?
This medication is commonly associated with hypokalemia.
What is furosemide (Lasix)?
These two bedside signs are associated with hypocalcemia.
What are Chvostek and Trousseau signs?
This type of fluid pulls water OUT of cells.
What is hypertonic fluid?
This electrolyte imbalance commonly causes seizures.
What is hyponatremia?
The body system most affected by sodium imbalances.
What is the neurologic system?
Before administering potassium, the nurse should assess this first.
What is urine output/kidney function?
Constipation and kidney stones are commonly associated with this imbalance.
What is hypercalcemia?
This fluid type is commonly used for hypovolemia.
What are isotonic fluids?
A patient with muscle weakness and palpitations should have this assessment first.
What is an EKG/cardiac rhythm assessment?
This intervention is a priority for severe hyponatremia
What are seizure precautions?
This route of potassium administration should NEVER occur.
What is IV push potassium?
This emergency complication can occur with severe hypocalcemia.
What is laryngospasm?
This type of fluid can worsen cerebral edema.
What is hypotonic fluid?
This is the MOST important assessment before replacing potassium.
What is kidney function/urine output?
This type of IV fluid may be used for severe symptomatic hyponatremia.
What is hypertonic saline (3%)?
This medication stabilizes the cardiac membrane during severe hyperkalemia.
What is calcium gluconate?
This body system is most affected by calcium imbalances.
What is the muscular/neuromuscular system?
Lactated Ringer’s and normal saline are examples of this fluid category.
What are isotonic fluids?
A potassium level of 6.9 should make the nurse assess this body system immediately.
What is the cardiovascular/cardiac system?