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10 Cards in this Set
- Front
- Back
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Normal calcium level is ?
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total 8.5-10.5mg/dl
Ionized calcium 4-6mg/dl |
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Roles of calcium ?
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provides structure to bones and teeth
Maintains cell membrane structure and impulse transmission Required for blood to clot |
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As the amount of ? you eat goes up so does the level of ? to the hyper level.
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phosphorus
calcium |
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Calcium and ? are found in the ?
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bicarbonate
ECF |
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Bicarbonate plays a vital role in ?
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Acid-Base balance
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Hypocalcemia is a level less than ?
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<8.5 mg/dl
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Causes of Hypocalcemia are ?
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PTH secretion is reduced or eliminated, thyroid surgery, parathyroid surgery, injury, disease, not enough intake, vitamin D def, malabsorption from GI tract(diarrhea), burned or diseased tissues, blood transfusions
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Assessment findings for Hypocalcemia?
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Paresthesias circumoral, twitching, tremors, muscle cramps, Hyperactive DTR's, Chvostek's-face, Trousseau's-arm, Cardiac arrhythmias, laryngeal spasm, serum Ca+<8.5, ionized<4.5, ECG changes
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Nsg Dx would be a ? and it would be ?
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RC
RC:Hypocalcemia |
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Nsg intervention for Hypocalcemia could be ?
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Administer Ca+ or calcium chloride(fast acting with 3 times more available Ca+), Calcium gluconate(more commonly used), Mg+ replacement, Vit D supp, Reduce phosphate with aluminum hydroxide antacids, Monitor vs, resp stridor,ECG, labs, Chvostek's, Trousseau's, safety, Teaching proper foods- dairy, green leafy veg, legumes, nuts whole grains, bonemeal, exercise
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