Tx for Electrolyte Imbalances Flashcards Preview

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Flashcards in Tx for Electrolyte Imbalances Deck (10)
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1

Treatment for hypokalemia

Replace with 40 mEq of potassium per liter IV
10 – 12 milliequivalent potassium per liter
Correct alkalosis

2

Treatment for hyperkalemia

Calcium gluconate
Sodium bicarbonate
Regular insulin
Glucose
Kayexalate Plus sorbitol
Lasix
Dialysis

3

Treatment for hyponatremia

Normal saline 0.9%
If severe symptoms use normal saline 3% or 5% and give slowly.
Raise sodium levels no more then 12 mEq per liter in 24 hours.
If given to fast demyelination of the CNS Will occur.

4

Treatment for hypernatremia

Correct blood volume deficit.
D5 W slowly until symptoms are relieved

5

Treatment for hypocalcemia

Seizure precautions
Airway precautions
1 to 3 g calcium gluconate given in 100 ML's D5 W

6

Treatment for hypercalcemia

Force diuresis with normal saline 3 to 5 L per day.
After volume expansion give Lasix 40 to 200 mg per day to increase renal excretion of calcium.
Potassium and magnesium supplements.
Calcitonin.
Give oral phosphates to patients with a serum phosphate level less than 1.2

7

Treatment for treatment for hypomagnesemia

Give magnesium 1–2 grams in 5200 ML's of D5W over 30 to 60 minute.
Be aware of that hypocalcemia worsens the signs and symptoms of decreased magnesium.
Seizure precautions. Give benzodiazepine seizure.

8

Treatment for hypermagnesemia

Withhold magnesium.
Give a normal saline with lasix one mg per kilogram, calcium chloride 500 to 1000 mg IV period
Glucose plus insulin.
Hemodialysis.

9

Treatment for decreased phosphate

Give phosphate as 24mM over 6 hours or 36mM over eight hours.
Caution of inducing hypocalcemia.

10

Treatment for increased phosphate

Withhold magnesium.
Give a normal saline with Lasix one mg per kilogram, calcium chloride 500 to 1000 mg IV slowly period
Glucose Plus insulin.
Hemodialysis.