Electrolyte mneumonics for CCRN
Terms
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- Intracellular Electrolytes
- Potassium, Magnesium and Chloride
- Extracellular Electrolytes
- Sodium, Calcium and Phosphorus
- Sodium Function
-
"Maintain extracellular volume and water balance
Aids to transmit nerve impulses" -
"Hypernatremia
Causes" -
"How Hot, Humid or Dry a Day is Saturday?
Hyperglycemia (osmotic diureses)
Hypercalcemia (D/T polyuria)
High Aldo (Adrenal tumor)
Dehydration
DI
Salt Water Intake" -
"Hypernatremia
Clinical manifestations" - Same as dehydration including ALOC
-
"Hypernatremia
Interventions" -
"Administer hypotonic IV
Neuro checks/ pulm. assessment to prevent overcorrection
Monitor urine and serum osmo and serum Na+" -
"Hyponatremia
Causes" -
"Diaphoresis and plain water hydration
SIADH
Low Aldo-(Adrenal insuff) Na levels fall" -
"Hyponatremia
Clinical manifestations" -
"""Twitch, Twitch, Seize, Seize, Chevostek and Trousseau""
Abd cramps
Usually accompanied by fluid volume overload" -
"Hyponatremia
Interventions" -
"Administer hypertonic IV
Diuretics " -
"Potassium
Function" -
"Cellular metabolism
Transmission of neuromuscular impulses
Supports cardiac cycle
Acid base balance" -
"Hypokalemia
Causes" -
"GLAD-H
GI Losses
Low Mag
Alkalosis
Diuretics
High Aldo" -
"Hypokalemia
Clinical manifestations" -
"It's Nauseating and Paralyzing Indeed,
Ur Low Long Appendage
Impaired muscle contraction incl. N/V & Paralysis (Ileus)
EKG changes: U waves, Low ST and T waves, Long QTI and Arrythmias " -
"Hypokalemia
Interventions" -
"Replacement
" -
"Hyperkalemia
Causes " -
"CART4-H
Cellular Destruction
Acidosis
Renal Disease
Too much KCL, b-blockers, digoxin, NSAIDS
Hypoaldosterone (Adrenal insuff)- Na can't be retained K can't be excreted" -
"Hyperkalemia
Clinical manifestations" -
"Ascending paralysis, twiching, cramping, weakness, N/V, diarrhea, oliguria, numbness, tingling
EKG changes: ""Low heart rate, ST and a flat or low P. Wide QRS (BBB), PR and a really high T. Short QT and Arrythmi""" -
"Hyperkalemia
Interventions" -
"Glucose and insulin
Bicarbonate
Calcium
Kayexalate" -
"Calcium
Function" -
"Formation of bone and teeth
Blood clotting
Myocardial contractility
Nerve impulse conduction (suppressant effect)" -
"Calcium
Regulation" -
"Vitamin D
Parathyroid" -
"Hypocalcemia
Causes" -
"(same as high phos)
STRADL4 HM
Sepsis
Thiazide
Renal dz (Kidneys activate Vit D)
Alkalosis
Diarrhea
Low PTH, mag, albumin or Vit D
High Phos
Massive transfusion" -
"Hypocalcemia
Clinical Manifestations" -
"""Twitch, Twitch, Seize, Seize, Chevostek and Trousseau""
""Anxiously Bleeding while Wheezing with a low BP and a long QT/ST""" -
"Hypocalcemia
Interventions" - Oral or IV calcium (NEVER IM CALCIUM)
-
"Hypercalcemia
Causes" -
"MR. P.L2. TOTBRAH3
Malignancy
Renal dz
Paget's
Low phos and aldo
Tb
Osteo
Thiazide
Bedrest
Rhabdo
Alkalosis
High PTH, A or D" -
"Hypercalcemia
Clinical Manifestations" -
"(same as low phos)
SF LUVS NC BOY PT
Stones
Fractures
Lethargy
Ulcers
Vomiting
Short QT/blocks
Neuromuscular decrease
Confusion
Blood clotting increase
Polyuria
Thirst" -
"Hypercalcemia
Interventions" -
"Normal Saline
Loop diuretics (Thiazide diuretics may ^ ca++)
Oral Phosphates
Parathyroidectomy
Mitromycin/ Plicamycin
Calcitonin
Steroids (Decrease GI absorbtion of ca++)" -
"Magnesium
Functions" -
"Nerve impulse conduction
Chemical metabolism
Cardiac conduction " -
"Hypomagnesemia
Causes" -
"Even Good Brains Die If Drugs Are Taken Regularly
ETOH
GI loss
Blood transfusion
Diuretics
Infection
Digoxin
ATBX
Trauma
Renal dz" -
"Hypomagnesemia
Clinical manifestations" -
"""Twitch, Twitch, Seize, Seize, Chevostek and Trousseau""
Confusion and Agitation
Same EKG changes as with low K
Causes low K, low ca" -
"Hypomagnesemia
Interventions" - Replacement
-
"Hypermagnesemia
Causes" -
"Overdose on mg or meds containing mg
Renal failure" -
"Hypermagnesemia
Clinical Manifestations" -
"Lethargy
Slow/Weak pulse
Low BP
Decreased tonicity
Low RR
Heart block" -
"Hypermagnesemia
Interventions" - Dialysis
-
"Acidosis
Clinical Manifestations" -
"Vasoconstriction/Increased ICP
Lethargy
Stupor
High RR
Shift to the Right" -
"Acidosis
Causes" -
"METABOLIC: DKA, Lactic acidosis, Renal disease
RESPIRATORY: Hypoventilation (COPD, drug OD)" -
"Alkalosis
Causes" -
"METABOLIC: GI loss, diuretics, high aldosterone
RESPIRATORY: Hyperventilation" -
"Alkalosis
Clinical Manifestations" -
"Vasodialation
Twitching
N/V
Confusion
Shift to the Left"