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NUR 242 Med/Surg Exam 2 Study Guide Solutions $11.49   Add to cart

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NUR 242 Med/Surg Exam 2 Study Guide Solutions

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NUR 242 Med/Surg Exam 2 Study Guide Solutions Hypocalcemia s/s - ANSWER-- serum level below 9 - painful muscle spasms in calf/foot during rest or sleep - positive Chvostek's and Trousseau's signs - parethesias, tingling, numbness - WEAK THREADY HEART RATE that may be slower or faster than nor...

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  • November 11, 2024
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NUR 242 Med/Surg Exam 2 Study Guide

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Hypocalcemia s/s - ANSWER✔✔-- serum level below 9


- painful muscle spasms in calf/foot during rest or sleep


- positive Chvostek's and Trousseau's signs


- parethesias, tingling, numbness


- WEAK THREADY HEART RATE that may be slower or faster than normal


Hypocalcemia causes - ANSWER✔✔-- inadequate oral intake of calcium and Vitamin D


- kidney failure


- malabsorption syndrome (Chrohn's disease)


- lactose intolerance


- ESKD


Hypocalcemia treatment - ANSWER✔✔-- oral or IV calcium supplements


- seizure precautions


- Vitamin D to help with the absorption of calcium from the GI tract


Hypercalcemia s/s - ANSWER✔✔-- serum level higher than 10.5


- severe muscle weakness and decreased deep tendon reflexes

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- confusion


- lethargy


- INCREASED HR & BP


- severe prolonged - electrical conduction depression


- cyanosis, pallor


- blood clots


Hypercalcemia causes - ANSWER✔✔-- excessive oral intake of calcium and Vitamin D


- kidney failure


- use of thiazide diuretics


Hypercalcemia treatment - ANSWER✔✔-- D/C thiazide diuretics and replace with diuretics that enhance

excretion of calcium (lasix/furosemide)


- administer IV fluids (0.9% NS)


- sodium increases kidney excretion of calcium


Hypokalemia s/s - ANSWER✔✔-- serum level less than 3.5


- THREADY, WEAK, IRREGULAR PULSE


- orthostatic hypotension


- lethargy


- skeletal muscle weakness


- CARDIAC DYSRHYTHMIAS

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