drunk- irritable and etc. shock- hypotension, abd. distress- diarrhea and etcTX for hiatal hernia - answerthe goal for tx of a hiatal hernia is to get gastric contents to emptyfast:HOB- HIGHHIGH FLUIDS INTAKEHIGH CARBOHYDRATES BUT LOW PROTEINremember " you want everything to be HIGH in haital hernia!TX for Dumping Syndrome - answerthe goal of TX for dumping syndrome is to empty gastriccontents slowly:HOB- LOW pt eats on its side with HOB lowLOW fluid intake usually 1/2 hrs after mealsLOW CARBOHYDRATES but HIGH PROTEINthe difference btwn hyper/hypokalemia? - answerboth hyper/hypokalemia do the same as theirprefixes indicate except for the heart rate and urine outputwhat are the S/S of HYPERKALEMIA? - answerhyperkalemia-irritibality, borigmi BS, tachypnea
BUT SLOW HEART RATE but T waves will be peaked tall and ST will be elevated AND SLOWURINE OUTPUTwhat are the S/S of HYPOKALEMIA? - answerhypokalemia- lethargy, ileus (absent bs) increaseHR, High urine output.the difference been hyper/hypocalcemia? - answerthey both do opposite of their prefix notexceptionswhat are S/S of hypercalcemia? - answerin hypercalcemia everything is low such as decreased HR,urine output , lethargy, bradypneawhat are S/S of hypocalcemia? - answerin hypocalcemia everything is high such as increased HR,high urine output, irritable, seizureswhat are the 2 neuromuscular irritability associated with hypocalcemia? - answer1. chovostek's ->cheek tap-> facial spasm2. Trouseasus sign -> BP cuff place on hand = hand spasmthe difference btwn hyper/hypomagnesium? - answerthey do the same as prefixif symptoms involves nerve or skeletal muscle - answerpick calcium. for any other symptoms pickpotassiumfyi magnesium is not a big player in electrolytes imbalanceswhat is hypernatremia? - answerhypErnatremia( high sodium) = dehydrationwhat is hypOnatremia) - answerhypOnatremia( low sodium) = fluid overload
in DKA what is the electrolyte imbalance you will find? - answerhypErnatreamiawhat is the earliest sign of any electrolyte disorder? - answertingling and numbness akaparesthesiawhat is the universal symptom of electrolyte imbalance is ? - answerparesis aka muscle weaknesswhat IV you should never push? - answerpotassiumwhen giving potassium you should question the order if? - answerif potassium is over 40 MeQ perliter of fluid. call MD and clarify orderwhat do you give to lower potassium? - answergive D5w and insulin to decreased the K+ in theblood in order to protect the heart BUT remember is only a temporary and fast solution todecreased K+when is Kayselate given? - answerkayselate is given along with D5w and insulin to decreased K+permanent.what to know about kayselate? - answerkayselate is slow absorption and takes long BUT kayselateis good for permanent decreased of K+ make sure to increase fluid intake. since Kayelate is chulkysodium and with too much sodium the risk for dehydration is great.
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