Fluid Volume
What type of IV fluid is used to treat FVD?
What is Isotonic fluids?
What fluid should avoided with hyponatremia due to further diluting the Na level?
What is water?
A client experiencing alterations with their potassium level should be place on what to monitor their heart function?
What is ECG or telemetry?
A client who is status post a thyroidectomy is at risk for developing which complication?
What is hypocalcemia?
What are risk factors for hypomagnesemia?
What is:
loss of GI fluids, alcoholism, DKA, medication (diuretics, animoglycoside, antibiotics, cyclosporines, cisplatin, digitalis, rapid blood administration of citrate blood)?
How much weight gain is considered too much with FVE and the HCP should be notified?
What is 2 lbs/day or 2-5 lbs/week?
How is orthostatic hypotension managed?
What is :
rise slowly, dangle feet at bedside, seek assistance with ambulation?
Name 3 potassium rich food items.
What is:
bananas, oranges, avocados, spinach, potatoes, tomatoes, legumes, whole grains, lean meat, seafood, milk, and yogurt?
A client with hypercalcemia is at an increased risk for what?
What is fractures, falls?
The S/S of hypomagnesemia are similar to what other electrolyte imbalance?
What is hypocalcemia?
Name 3 S/S of FVD.
What is:
weight loss, decreased skin turgor, pale skin, cool & clammy skin, increased temperature, concentrated urine, tachycardia, weak thready pulse, hypotension, decreased CVP, flatten neck vein, sunken eyes, dizziness, weakness, thirst, confusion.
What type of IV fluids is used to treat hypernatremia?
What is :
1/2 NS (hypotonic)
D5W (isotonic)
What medication is used to treat hyperkalemia that is given PO or rectally?
What is Sodium Polystyren Sulfonate (Kayexalate)?
List a medication used to treat hypercalcemia.
What is :
loop diuretics, IV phosphate, calcitonin, corticorsteroids, bisphosphonates, mitramycin, phosphate salt?
If a client develops respiratory depression due to hypermagnesemia, what will be required to maintain the airway?
What is mechanical ventilation?
If a client is showing S/S of FVE while receiving IV fluids, what action should the nurse perform 1st?
What is, Stop the Infusion?
What method is used to prevent elderly clients from developing hypernatremia?
What is initiate fluid schedules?
What is the most effective method to treat severe hypokalemia?
What is IV infusion of potassium chloride (KCL)?
List 3 calcium rich foods.
What is:
green leafy vegetables, canned salmon/sardines, fresh oysters, dairy products?
Identify 2 factors the nurse should monitor when administering IV magnesium for the treatment of hypomagnesemia.
What is:
vitals, cardiac rate & rhythm, respiratory distress, urinary output?
List 3 Ways FVD can occur?
What is:
Vomiting/diarrhea; loss of GI fluids (suctioning, fistulas, or drainage); diuretic use; renal, endocrine D/O; increased perspiration, hemorrhage, burn, 3rd fluid shifts.
List 3 S/S of hyponatremia.
What is:
muscle cramps, weakness, fatigue, poor skin turgor, dry mucosa membranes, nausea & vomiting, diarrhea, abdominal cramping, anorexia, headache, confusion, lethargy, abnormal muscle movement, seizures, dizziness, orthostatic hypotension, tachycardia, weight gain?
List 3 S/S of hypokalemia.
What is:
nausea & vomiting, anorexia, decreased GI motility, fatigue, muscle weakness, leg cramps, paresthesia, hypoactive reflexes, polyuria, hypotension?
List 2 major complications that can occur with hypocalcemia which will require further intervention.
What is:
seizure, dyspnea, bronchospasms, laryngospasms, impaired clotting?
List 3 S/S of hypermagnesemia.
What is:
hypotension, tachycardia to bradycardia, flushed warm skin, diaphoresis, depressed respiration, muscle weakness, hypoactive reflexes, respiratory depression, cardiac arrest, coma?