NUR 155 Exam 2
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1. Hyponatremia Nausea and vomiting, Headache, Confusion, Loss of en-
ergy and fatigue, Restlessness and irritability, Muscle
weakness, spasms or cramps, Seizures, Coma.
A condition that occurs when the level of sodium in the
blood is too low.
2. Hypernatremia You may not have any symptoms, unless your blood
sodium levels are significantly elevated. Dizziness when
you stand up or change positions (you may be dehydrat-
ed). Severe sweating or fever; vomiting and diarrhea with
markedly elevated sodium levels, if your. Due to a loss of
body fluids.
3. Hypokalemia Weakness, tiredness, or cramping in arm or leg muscles,
Tingling or numbness, Nausea or vomiting, Constipation,
Palpitations.
Low Potassium
4. Hyperkalemia Abnormal heart rhythm -- arrhythmia -- that can be
life-threatening, Slow heart rate, Weakness.
Elevated potassium.
5. Hypocalcemia Positive chvostek's & trousseau's sign, vitamin D defi-
ciency, Chronic renal failure, Magnesium deficiency, Alco-
holism.
Low calcium.
6. Hypercalcemia Anorexia, nausea, vomit, personality changes, cardiac ar-
rest, lethargy.
High calcium
7. Hypomagne- muscle tremors, confusion & disorientation, tachycardia.
semia Low Magnesium.
8. Hypermagne- Decreased depth and rate of respirations, hypotension,
semia ECG abnorm. (prolonged QT interval) AV Block.
High Magnesium.
9. FVD (Fluid Vol- R/C- GI loss (diarrhea, etc.), loss of plasma or whole
ume Deficit) blood (burns or hemorrhage), Excess. perspiration, fever,
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, NUR 155 Exam 2
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confusion or depression, use of diuretics
S/S- posturaly hypotension, tachycardia, dry mucous,
membranes, poor skin turgor, thirst , confusion, rapid
weight loss.
10. Respiratory Aci- R/C- Pneumonia, cystic fibrosis, respiratory failure, airway
dosis obstruction, chest wall injury
S/S- confusion, dizziness,lethargy, headache, vent. dys-
rhythmias
11. Respiratory Alka- R/C- Asthma, Pneumonia, Wrong Ventilator Settings
losis S/S- tachypnea, dizziness,confusion, dysrhythmias,
numbness & tingling of extremeties.
12. Metabolic Acido- R/C- Starvation, Renal Failure, Lactic Acidosis from heavy
sis exercise, Diabetic ketoacidosis
S/S- headache, lethargy, confusion, dysrhtymias, flushed
skin, tachypnea w/ deep respirations, abdominal cramps.
13. Metabolic Alkalo- R/C- Excessive vomiting, Prolonged gastric suctioning,
sis Hypokalemia or hypercalcemia, excess aldosterone,
S/S- dizziness, dysrhytmias, tingly fingers and toes.
14. Isontonic Solu- Solution w/ the same osmolarity as blood plasma; both
tion sides of the semipermeable membrane are equal in con-
centration.
15. Hypertonic Solu- HIGH osmotic pressure, PULLS fluid from cells.
tion
16. Hypotonic Solu- Solution of lower concentration. Moves fluid into cells
tion causing them to enlarge
17. Insensible Water Loss of water through the skin and lungs
Loss
18. Sensible Water excess perspirations and can be perceived by the client
Loss through inspection
19. Lungs & Kidneys Physiological buffers of acid bace balance
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