Fluid Electrolytes

Electrolytes

100

Which age group is highest risk for fluid and electrolyte disorders?

Geriatric

200

What is the action for a potassium level below normal range?

a. IV bolus of K

b. IV infusion by pump

c. start NSS

B.

300

Serum sodium is 162. What is the appropriate treatment?

a. have them eat potato chips

b. IV sodium bicarb

c. IV Normal sodium 

d. IV hypotonic solution

D

400

Name three things to consider when giving potassium?

Double check the dose

IV pump administration

Administer at prescribed rate

Have someone check your pump rate before starting

500

Patient is adequately hydrated but has hypernatremia.

What nursing intervention is appropriate for this patient?

Encourage fluids

Strict I&O's

Hypovolemia

100

Early sign of hypovolemia with dehydration?

Headache

200

Patient is on lasix. Which lab value should you monitor with daily labs?

Sodium

300

Patient has severe vomiting and diarrhea. Serum NA is 159. Is this consistent with their diagnosis?

Yes

400

Name 3 things to teach a patient at risk for hypervolemia?

I will weigh myself daily

I will use salt substitutes and watch my sodium intake

I will call my doctor if I notice swelling in my legs or body

500

Which values do we monitor for fluid disorder?

Name 4

HCT

BUN

Creatinine

Na

Lab Values

100

Name normal range of K

3.5-5.0

200

Normal serum Na

135-145

300

Normal creatinine level for men versus women

.6-1.1 women

.7-1.3 men

400

Normal BUN 

7-20

500

Normal ranges for Hemoglobin, Hematocrit

13.2-16.6 men

11.6-15 women

Anemia

100

Name classic symptoms of anemia?

shortness of breath/dyspnea

pale pallor

severe tiredness

200

Three things to teach a sickle cell patient?

Manage stress

stay hydrated 

KEEP WARM

avoid high altitude

300

Treatment for polycythemia vera anemia?

autologous donation of blood

400

Patient is complaining of a sore tongue this is smooth and very red? What condition is this?

iron deficiency anemia

500

Anemia with jaudiced sclera and worsening fatigue?

Sickle cell, a more chronic anemia

Diet

100

name 3 foods rich in K

bananas

dark green leafy veggies

raisins

sea food (shrimp, oysters, tuna)

orange juice

200

Name 3 foods high in iron

lentils

organ meats (liver)

pair green leafies with orange juice (spinach)

iron enriched cereals

300

When is TPN administered? 

after severe burns

with absorption GI issues

when it is needed for healing and short term use

400

WHat injection is typically ordered after bariatric surgery or loss of stomach due to other issues?

B12

500

Common symptoms of B12 anemia?

weakness, balancing difficulty, paresthesia of extremities