By Springhouse

Designed for fast reference within the medical institution hallway or on the nurses' station, this instruction manual offers succinct, bulleted, up to the moment details on fluid and electrolyte homeostasis and customary fluid, electrolyte, and acid-base imbalances. half 1 presents a fast refresher on key proof nurses have to evaluation overview findings with regards to fluid and electrolyte homeostasis. half 2 comprises entries on imbalances, which are are alphabetically geared up and offered on easy-to-scan two-page spreads. quite a few tables and illustrations are incorporated. trademarks spotlight in all probability harmful events and problems and age-related concerns.

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Extra resources for Nurse’s Quick Check: Fluids and Electrolytes

Example text

However, ionized calcium levels — the more important of the two — remain unchanged. So when considering total serum calcium levels, you should also consider serum albumin levels. ) Balance ❍ Both intake of dietary calcium and existing stores of calcium affect calcium levels in the body. ❍ Calcium is absorbed in the small intestine and is excreted in the urine and feces. ❍ When serum calcium levels are low, the parathyroid glands release parathyroid hormone (PTH). – PTH draws calcium from the bones and promotes the transfer of calcium (and phosphorus) into the plasma, a process that increases serum calcium levels.

Qxd 18/8/08 12:12 PM Page 33 – hypercoagulability – irritation at the site – lethargy or syncope – nausea or vomiting – slight pressure over the eyes – thrombocytopenia. ❍ Delayed complications from prolonged use of lipid emulsions may include: – blood dyscrasias – fatty liver syndrome – hepatomegaly – jaundice – splenomegaly. ) Works on the principle of differential diffusion across a semipermeable membrane, which extracts byproducts of protein metabolism, such as urea and uric acid, as well as creatinine and excess water Restores or maintains balance of the body’s buffer system and electrolyte level, promoting rapid return to normal serum values and preventing complications of uremia Provides temporary support for patients with acute reversible renal failure Is used for regular long-term treatment of patients with chronic end-stage renal disease Is performed less commonly for acute poisoning, such as barbiturate or analgesic overdose Depends on patient’s condition (rate of creatinine accumulation and weight gain) for number and duration of treatments ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ ❍ Is usually performed in hemodialysis unit by specially trained staff May be done at bedside in intensive care unit if patient is acutely ill and unstable May be available for use at home (special hemodialysis units) Contraindications ❍ Hemodynamic instability Special considerations ❍ Obtain blood samples from the patient, as ordered, usually before hemodialysis starts.

AGE AWARE Elderly patients are at risk for altered electrolyte levels for two main reasons. First, they have a lower ratio of lean body weight to total body weight, which places them at risk for water deficits. Second, their thirst response and renal function are decreased, which makes maintaining elec- Parathyroid hormone and phosphorus This illustration shows how parathyroid hormone (PTH) affects serum phosphorus (P+) levels — by increasing phosphorus release from bone, increasing phosphorus absorption from the intestines, and decreasing phosphorus reabsorption in the renal tubules.

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