IV Fluids
Hypokalemia
Hypervolemia
Hypomagnesemia
Hypophosphatemia
Hypercalcemia
Hyponatremia
Normal limits/what it affects
100
Hypertonic solutions
What is 3% NS, D5 1/2 NS, D10W
Shrinks cells
100
Bunches of bananas. AKA range
what is 3.5-5
100
Possible S/S
What is bounding pulse and cough, s3 heart sounds, acute weight gain, HTN, increased RR and urine output, pulmonary congestion- crackles/sob/edema/ascites, JVD, SOB while laying down.
100
In these severe cases IV mag is given.
What is seizures due to preeclampsia or eclampsia, torsade’s de pointes, asthma, HTN, parenteral nutrition. Always verify pump settings- possible OD.
100
The amount of teeth crack head Bobby has. (range)
What is 2.7-4.5.
100
Calcium is known for creating this.
What is bones. S/S are opposite of prefix.
100
Lithium is given to these patients.
What is SIADH.
100
Magnesium
What is 1.8-2.6. CNS stimulant/depressant.
200
Digs water into cells- HIPPO
What is hypotonic solutions?
200
the 6 L's stands for
What is lethargy, leg cramps, limp muscles, low shallow RR, lethal cardiac dysrhythmias, lots of urine.
200
Interventions
What is fluid restriction.
What is diuretics: thiazide and loop.
200
This is a CNS stimulant.
What is true. Does the opposite of the prefix.
200
Prevention is KEY!! These are foods and supplements that can be taken.
What is dairy products, meats, beans, nuts, fish, poultry, whole grains, phosphate supplements, Vit D.
200
Pts who can't tolerate large amount of sodium are given this IM injection.
What is Calcitonin.
200
Normal range is 126-150
What is false. range is 135-145. ** remember you have 1.35-1.45 for your soda.
200
"Perfect teeth"
What is crackhead Bobby, phosphorus, 2.7-4.5.
300
0.9% NS, LR
What is Isotonic solutions
300
Does the same as the prefix except for.
What is HR and urine output
300
IV fluids.
What is hypertonic solutions.
What is 3% NS, D5 1/2 NS, or D10W.
300
Levels need to be checked every 2-3 days with what patients.
What is patients withdrawaling from alcohol.
300
Patient might need surgery or treatment for this.
What is removal of parathyroid tumor and treatment for cancer.
300
Most complained about S/S
What is bone pain and fractures- causes brittle bones. Kidney stones.
300
IV fluid solutions.
What is isotonic or hypertonic solutions. Hypertonic used for severe cases or pts with TBI.
300
Always think heart! 3.5-5
What is potassium.
400
Hypotonic solutions
What is 1/2 NS or 0.45%
400
Some cardiac issues seen
What is ST segment depression, flat or inverted T waves (or both), elevated U wave, prolonged QRS intervals, heart block, ventricular dysrhythmias
400
Third spacing.
What is ascites.
400
This test should always be done due to cardiac dysrhythmias.
What is ECG/EKG. Increases HR- v fib, svt, pvcs. PUT ON TELE!!
400
Med that activates calcium receptors.
What is calcimemetics- cinacelcet.
400
Diet changes.
What is low calcium, adequate fiber and fluid intake.
400
Neurological changes.
What is AMS, seizure, coma. sodium think brain= brain changes.
Levels lower than 115 can show signs of increased intracranial pressure.
400
Normal levels 8.8-10.4. Think creating bones.
What is Calcium.
500
Both isotonic and hypotonic solutions
What is D5W?
500
This happens if you replace potassium TOO quickly
What is death. No more than 10 mEq/hr.
500
Imaging that will show pulmonary congestion. Labs that will be low.
What is chest X-ray and all labs will be low.
500
These happen due to hypocalcemia and/or hypokalemia.
What is increases neuromuscular contractility and irritability: trousseau and Chvostek sign, and muscle cramps, tremors, and seizures.
500
These patients are high risk for what issue.
What is fractures. Phosphorus think teeth- perfect teeth.
500
Teeter-totters with what other electrolyte.
What is calcium.
500
O in hypOnatremia stands for.
What is fluid Overload.
500
This affects changes in the brain.
What is Sodium, normal levels 135-145.