strugling in electrolyte imbalance

[nhlkyn]

hi ,

i am having trouble remembering fluid and electorlyte imbalance.can anyone help me how to remember assessment for hypo and hyper for natremia,kalemia,magnesemia.calcemia,phosphatemia?i am really confused and mixing up all sign symptoms. iread those couple of times but still evrything mixed upin my brain.

[caliotter3]

There are many books that cover this subject, including an "Incredibly Easy" title. You should go to the bookstore, look through them, and pick one out for further study. Or get one from the library.

[jadu1106]

this was posted by umich08:

myxedema/hypothyroidism: slowed physical and mental function, sensitivity to cold, dry skin and hair

graves’ disease/hyperthyroidism: accelerated physical and mental function; sensitivity to heat, fine/soft hair

thyroid storm: increased temp, pulse and htn

post-thyroidectomy: semi-fowler’s, prevent ncek flexion/hyperextension, trach at bedside

hypo-parathyroid: cats – convulsions, arrhythmias, tetany, spasms, stridor (decreased calcium), high ca, low phosphorus diet

hyper-parathyroid: fatigue, muscle weakness, renal calculi, back and joint pain (increased calcium), low ca, high phosphorus diet

hypovolemia – incrased temp, rapid/weak pulse, increase respiration, hypotension, anxiety, urine specific gravity >1.030

hypervolemia – bounding pulse, sob, dyspnea, rares/crackles, peripheral edema, htn, urine specific gravity

diabetes insipidus (decreased adh): excessive urine output and thirst, dehydration, weakness, administer pitressin

siadh (increased adh): change in loc, decreased deep tendon reflexes, tachycardia, n/v/a, ha; administer declomycin, diuretics

hypokalemia: muscle ewakness, dysrhythmias, increase k (raisins, bananas, apricots, oranges, beans, potatoes, carrots, celery)

hyperkalemia: murder – muscle weakness, urine (oliguria/anuria), respiratory depression, decreased cardiac contractility, ecg changes, reflexes

hyponatremia: nausea, muscle cramps, increased icp, muscular twitching, convulsion; osmotic diuretics, fluids

hypernatremia: increased temp, weakness, disorientation/delusions, hypotension, tachycardia; hypotonic solution

hypocalcemia: cats – convulsions, arrhythmias, tetany, spasms and stridor

hypercalcemia: muscle weakness, lack of coordination, abdominal pain, confusion, absent tendon reflexes, sedative effect on cns

hypomg: tremors, tetany, seizures, dyrshythmias, depression, confusion, dysphagia; dig toxicity

hypermg: depresses the cns, hypotension, facial flushing, muscle ewakness, absent deep tendon reflexes, shallow respirations, emergency

addison’s: hypona, hyperk, hypoglycemia, dark pigmentation, decreased resistance to stress, fractures, alopecia, weight loss, gi distress

cushings: hyperna, hypok, hyperglycemia, prone to infection, muscle wasting, weakness, edema, htn, hirsutism, moonface/buffalo hump

addisonian crisis: n/v, confusion, abdominal pain, extreme weakness, hypoglycemia, dehydration, decreased bp

pheochromocytoma: hypersecretion of epi/norepi, persistent htn, increased hr, hyperglycemia, diaphoresis, tremor, pounding ha; avoid stress, frequent bating and rest breaks, avoid cold and stimulating foods, surgery to remove tumor

[nhlkyn]

thank you so much .it is very usefull .

[shiina,RN]

This is very helpful!Thanks.