Name the diagnosis
Bilateral leg edema, lung crackles, increased weight, increased b/p
CHF / fluid volume excess
A patient is admitted with neurological symptoms such as confusion & seizures. The nurse knows to consider what electrolyte?
Sodium
Your patient is hyperventilating. They have tachycardia, sudden confusion, and c/o numbness & tingling in their extremities. K+ 2.8 PH is 7.5 ; The nurse should expect to administer these two items IV.
Saline drip (fluid bolus) ; Potassium
long onset, gradual decrease of urine output, chronic elevated creatinine
CKD
A patient is ordered a loop diuretic. Given the MOA, what lab should the nurse review before administering?
Potasium
Your patient presented to the ER in DKA with a BGM of 750. They are confused, sweating, vomiting & having Kussmaul respirations. Their PH is 7.20. Aside from an insulin drip, the nurse would expect to administer what?
Sodium bicarb
low b/p, tachycardia, poor skin turgor, decreased urine output, dizziness
Dehydration, fluid volume deficit
The patient demonstrates spasming of hand/wrist after b/p cuff inflated (TROUSSEAU SIGN). What electrolyte should the nurse consider asking the physician to order? And are they worried about too little or too much?
Calcium / hypocalcemia
Your COPD patient on the unit c/o of SOB, dizziness, weakness & an irregular heart rate. His O2 sats are 88% on 3L. What element are you concerned about this patient retaining?
CO2
quick onset, result from injury or insult, urine output decreased quickly, rapid increase in creatinine
AKI
The nurse notices dysrhythmias on the monitor at the nurses station & walks into the room to see the patient having tremors. They've been having diarrhea for two days & not eating well. What electrolyte is the nurse concerned about?
Magnesium
A patient presents to the ER with N/V for four days. They have been unable to keep down food or water. HR is 130, they have poor skin turgor, report decreased in urination & c/o of muscle cramps. Besides fluid replacement, what electrolytes should the nurse be checking? What is this condition presenting as?
Potassium / Metabolic Alkalosis
headache, hyperkalemia, N/V/D, decreased b/p, muscle twitching, Kussmaul breathing
Metabolic acidosis
Your patient is asking for a refill of his water for the 3rd time this shift. Apon entering his room again, he appears confused & had a fruity smell to his breath. What should the nurse consider checking?
Glucose
A patient with a panic attack presents with:
ABG:
Respiratory Alkalosis (uncompensated)