SODIUM
WHAT IS THE NORMAL RANGE FOR SODIUM
135-145
WHAT ORGAN IS RESPONSIBLE FOR EXCRETING 80% OF THE BODY'S POTASSIUM
KIDNEYS
POSTMENOPAUSAL WOMEN
WHERE IS MAGNESIUM COMMONLY STORED IN THE BODY?
BONES AND CARTILAGE
WHY ARE OLDER ADULTS HIGH RISK FOR DEHYDRATION?
LESS TOTAL BODY WATER
WHAT COMMON CARDIOVASCULAR CHANGES WOULD YOU SEE IN FLUID OVERLOAD?
BOUNDING PULSE
INCREASED BP
DISTENDED NECK VEINS
WEIGHT GAIN
COMPLETE THIS STATEMENT: WHERE SODIUM GOES ________FOLLOWS.
WATER
WHEN ADMINISTERING POTASSIUM IV FOR SEVERE HYPOKALEMIA, WHAT ARE TWO THINGS THE NURSE MUST REMEMBER?
INFILTRATION CAN CAUSE TISSUE NECROSIS, POTASSIUM MUST BE DILUTED, PHARMACY CAN ONLY MIX POTASSIUM IN BAGS OF IV FLUID, NO MORE THAN 20mEq OVER AN HOUR, NEVER GIVE IM, SC, OR IVP.
WHAT NEUROMUSCULAR ASSESSMENT FINDINGS ARE INDICATIVE OF HYPERCALCEMIA?
DECREASED DTR'S
WHAT ARE TWO MAJOR CAUSES OF HYPOMAGNESEMIA?
INADEQUATE INTAKE AND LOOP DIURETICS
MALNUTRITION, STARVATION-ANOREXIA, DIARRHEA, CROHN'S DISEASE
IF A PATIENT LOSES 2.2 LBS. OR 1KG, HOW MUCH BODY FLUID LOSS DOES THIS EQUAL?
1000 ML OR 1 LITER
WHAT ADVENTITIOUS BREATH SOUNDS MIGHT YOU AUSCULTATE IN A PATIENT WHO IS IN FLUID VOLUME EXCESS?
CRACKLES
WHAT CARDIOVASCULAR CHANGES COULD OCCUR WITH HYPERKALEMIA?
DYSRHYTHMIAS
WHEN CARING FOR A PATIENT WITH HYPERCALCEMIA, THE NURSE KNOWS THAT CARDIOVASCULAR CHANGES ARE THE MOST SERIOUS AND LIFE THREATENING. WHAT DOES THE NURSE NEED TO MONITOR REGULARLY?
WHEN SERUM MAGNESIUM IN LOW, WHAT INTRACELLULAR ION IS ALSO LOW CAUSING EXCITABILITY AND CARDIAC ARRYTHMIAS?
POTASSIUM
What signs and symptoms may indicate fluid volume deficit in an adult OR OLDER ADULT?
WHAT LAB VALUES MAY BE DECREASED IN FVE?
HEMOGLOBIN, HEMATOCRIT, PROTEINS, ELECTROLYTES
RESPIRATORY
WHAT DIURETIC CAN LEAD TO HYPOKALEMIA?
DIURETICS (furosemide)
WHEN TREATING HYPERCALCEMIA, WHAT IV FLUIDS AN IVE MEDICATION WOULD YOU EXPECT THE HCP TO ORDER?
0.9% NSS AND FUROSEMIDE
WHEN ADMINISTERING IV MAGNESIUM, WHAT ASSESSMENT SHOULD BE DONE HOURLY?
ASSESS DTR'S
WHAT ARE THE BEST INDICATORS FOR FLUID VOLUME STATUS?
DAILY WEIGHTS
I&O
SKIN TURGOR
MUCOUS MEMBRANES
VITAL SIGNS
LABORATORY VALUES
WHEN CARING FOR A PATIENT DIAGNOSED WITH FVE, WHAT ARE NURSES ASSESSING EVERY 2 HOURS?
LUNG SOUNDS
BOUNDING PULSES
PITTING EDEMA
REDUCED URINE OUTPUT
NUTRITIONAL THERAPY FOR A PATIENT DIAGNOSED WITH HYPERNATREMIA WOULD FOCUS ON WHICH TWO THINGS?
ADEQUATE HYDRATION AND DECREASED SODIUM INTAKE.
NAME 3 FOODS HIGH IN POTASSIUM
AVACADOS
BROCCOLI
BANANAS
ORGAN MEATS
DAIRY PRODUCTS
DRIED FRUIT
MUSHROOMS
BEANS/PEAS
POTATOES
SPINACH
WHAT NEUROMUSCULAR ASSESSMENT FINDINGS ARE INDICATIVE OF HYPOCALCEMIA?
POSITIVE TROUSSEAU'S AND CHVOSTEK'S SIGN
HOW WOULD YOU ASSESS THESE?
Which food should the nurse recommend to a client with hypomagnesemia?
SPINACH
WHAT IS THE MOST APPROPRIATE INITIAL INTERVENTION FOR A PATIENT WITH SEVERE FVD?
ISOTONIC FLUIDS
ORAL FLUIDS
NAME SOME KEY PATIENT EDUCATION POINTS FOR A PATIENT WITH FVE?