S/S for hypercalcemia?
Think WM!!!!
- bone pain
- kidney stones
- increase constipation
- decrease DTR
- muscle weakness
- confusion
- slurred speech
What are the causes for hypomegnesmia?
- alcoholism
- starvation
- vomiting
What are nursing implications to monitor with hypomagnesemia?
- seizure precaution
- mg rich food
- be careful giving mg sulfate
What are foods rich in phosphorus?
dairy
fish
organ meats
whole grain breads/ cereals
pork, beef, chicken
lab value for phosphorus?
2.5-4.5
What causes hypercalemia?
think WH!
- prolong bed rest
- excessive Ca with vit D supplement
- malignant bone disease
- antacids (tums)
How is magnesium regulated?
- BP, blood, sugar, muscle contraction, never function
S/S for hypermagnesemia?
- low BP
- low RR
- increase Pulse
- lethargy
- hypoactive reflexes
- muscles weakness
- paralysis
- chvostek/ trousek
S/S Hyperphophatemia?
- increase pulse
- increase DTR
- seizure
- muscle twitch
- tetany
- chvostek/ trousseau
Hypophosphatemia treatments are?
- give Po4 with vit D by PO WATCH CALCIUM
treatment for hypercalcemia?
biophosphonates
What are the causes for hypermagnesemia?
- too much mg
- renal failure
- IV mg
- oral antacids (tums)
S/S hypomagnesmia?
- increases muscular irritability
- increase reflexes
chvostek/ trousseau
What are the nursing implications for hypophospatemia?
- risk for fractures increase Ca gives foods increase Ph4 but decreases Ca
What causes hypophosphatemia?
- burns
- DKA
- alcohol withdraw
- poor intake
What nursing implications to monitor for paitients with hypocalcemia?
- AIRWAY
- safety, falls, tremors
- foods high in Ca
What are treatments for hypomagnesemia?
- mg sulfate
- for alcoholic monitor other electrolytes d/t mg will not increase when not abnormal
What are values for magnesium?
1.6-2.2
S/S hypophosphatemia?
- muscle weakness
- bones weakness
- respiratory failure
- numbness hand and mouth
What are some hyperphosphatemia treatment?
- Ca acetate TAKE WITH FOOD
true or false patients on gluconate have to be on heart monitor?
TRUE
What are food rich in mg?
- chocolate, milk, cauliflower, pork, oranges, nuts, bananas, avocado
What are the treatments for hypermagnesemia?
- IV calcium gluconate
- diurctics
Causes for hyperphosphatemia?
- renal failure
- excessive intake Po4
- vit D
- contention causing large tissue breakdown
What are nursing implication are for hyperphosphatemia?
- restrict phos foods
- avoids laxatives