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Viewing All Flashcards for Medical Surgical Nursing I - Final Exam
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Answers
1)
Symptoms @ <125 mEq/L Fluid Shifting Out – 3rd Space Action Potential Problems (Cramping, Lethargy, H/A) ↓Responsiveness (Cardiac)GI – Diarrhea&Cramping
 
Hyponatremia
2)
Cellular Dehydration Neuro Changes Hemorrhaging Cardiac/Fluid Retention↓UOP
 
Hypernatremia Replace H2O Give Hypotonic IV SolutionGive Diuretics
3)
Muscle Contractions, Fatigue Slow GI Function EKG ChangesHyperglycemia
 
Hypokalemia ↑K+ Dietary Intake K+ Supplements (PO) IV K+ (Carefully) (10 – 20 mEq/Hr – Max)K+ Sparring Diuretics
4)
Hyperexcitability ↑Reflexes à Fatigue(Early) (Late)
 
Hyperkalemia K+ Wasting Diuretics (Lasix) K-Exolate (↑GI Loss) Insulin Correct Acidosis
5)
Confusion àConvulsions Hypotension Prolonged Bleeding Chvostek Signs (Face Nerve) Trousseau Sign (Tetanny)
 
Hypocalcemia
6)
Muscle Fatigue Constipation *Bone-Stones-Moans*Renal Stones
 
Hypercalcemia
7)
†‘Muscle Excitability (Cardiac Pts) ΔLOC à SeizuresHypertension/Hyperglycemia
 
Hypomagnesesemia
8)
Conduction Abnormalities Heart BlocksCardiac Arrest
 
Hypermagnesemia IV Calcium GluconateDialysis (Renal Pts)
9)
AnemiaGeneralized Muscle Weakness
 
HypophospatemiaPhosphorous (PO or IV)
10)
Confusion àConvulsions Hypotension Prolonged Bleeding Chvostek Signs (Face Nerve) Trousseau Sign (Tetanny)
 
Hyperphosphatemia Ca2+ SupplementsPhosphate Binders (Renagel)
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