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Fluids & Electrolytes Review - Nursing Fundamentals
Fluids & Electrolytes Review - Nursing Fundamentals
lungs- lungs
Mg- regulates BP
IV Fluids:
hypokalemia: <3.5
loss of K (vomiting, gastric suction, diarrhea, diaphoresis, K
wasting diuretics, poor intake (alcoholics, malnourished,anorexia)
S&S: muscles weakness, leg cramps, fatigue, n/v, decreased
bowel sounds, cardiac dysrhymias
SUCTION skeletal muscles weakness, U wave on EKG,
constipation, toxicity of dig, irregular pulse, Orthostatic hypo,
Numbness
interv—monitor heart rate, admin suppl orally with food, do
not abuse laxatives or diuretics
Hyperkalemia: >5.0
decreased K excretion (renal failure, potassium sparing diuretics),
excessive intake of K salt subs, infections, burns or acidosis
S&S: GI hyperactivity, diarrhea, irritability, confusion,
cardiac dysrythmias, muscles weakness, no reflexes, numbness in
extremities
interv—cardiac status, admin diuretics & glucose, insuln as
needed, hold K suppl, avoid foods high in K, monitor K levels
hypocalcemia <8.5
decreased Ca intake, decreased vitamin D, increased Ca excretion
(renal failure, diarrhea, wound drainage), endocrine disorders
S&S: numbness, tingling of ext and around mouth, muscle
tremors, cramps, severe= tetany & seizures, confusion
interv—monitor resp & cardiac status, safety for confusion,
admin suppl carefully
hypercalcemia >10.5
prolonged immobilization, hyperparathyroidism, renal impairment,
excessive intake antacids
S&S: lethargy, weakness, n/v, anorexia, constipation,
polyuria, kidney stones, heart blocks
interv—increase movement & fluid intake, increase fiver &
limit foods high in Ca, I&O, prune or cran juice
hypomagnesemia <1.5
excess GI loss, long term drug use, chronic alcoholism,
pancreatitis, malnutrition, starvation ,burns
S&S: cardiac dys, twitching, cramps, tetany, seizures,
agitation ,confusion
interv—monitor for cardiac dys, assess for dig tox, seizure
precautions & safety, Mg admin, monitor K levels also
Potassium’s Role:
Acidosis- cells push K out & take H+ (hyperkalemia)
Alkalosis- cells take in K & make room for more H + to bond
(hypokalemia)
Interpretation:
What is pH? acidosis or alkalosis
What is PCO2? Is it moving with pH or opposite
What is HCO3? Moving with pH or not?
Resp. cause moves opposite pH, metabolic moves with pH
Is there compensation?
complete- pH normal range
partial- opp. system moved but pH not normal still
uncompensated- no change occurring
Resp Acidosis:
interv—patent airways, v/s, cardiac, resp, neuron status, improve
ventilation, O2, electrolytes (K), ABG, pulse ox, avoid sedatives,
Kayexelate (if K is too high)
Resp Alkalosis:
interv—treat underlying disorders, patent airway, emotional
support, electrolytes, meds, v/s
Met Acidosis:
interv—v/s, neuron status, I&O, safety, monitor K closely,
diabetes treatment, renal treatment
Met Alkalosis:
interv—patent airway, v/s, I&O, monitor muscle weakness, safety
for tetany & seizures, cardiac monitoring