Fluid And Electrolyte Assessment

Front 1

Hyponatremia

Back 1

1. Weakness
2. Diminished deep tendon reflexes
3. Headache, confusion, seizures, coma
4. Increased bowel sounds, cramping diarrhea
5. Increased urinary output
6. Decreased urine specific gravity
7. Dry mucous membranes

Front 2

Hypernatremia

Back 2

1. Pulmonary edema
2. Muscle twitches
3. Altered cerebral function
4. Extreme thirst
5. Decreased urinary output
6. Dry, flushed skin
7. Increased urinary specific gravity

Front 3

Hypokalemia

Back 3

1. Thready, weak pulses
2. Orthostatic hypotension
3. Paresthesias
4. Deep tendon hyporeflexia
5. Skeletal muscle weakness
6. Hypoactive bowel sounds
7. N/V constipation

Front 4

Hyperkalemia

Back 4

1. Slow, weak HR
2. Decreased blood pressure
3. Profound weakness of skeletal muscles
4. Muscle twitches, cramps
5. Hyperactive bowel sounds

Front 5

Hypocalcemia

Back 5

1. Decreased HR
2. Hypotension
3. Dimished peripheral pulses
4. Twitches, cramps
5. Positive Trousseau's and Chvostek's signs
6. Increased bowel motility

Front 6

Hypercalcemia

Back 6

1. Increased HR and BP
2. Bounding peripheral pulses
3. Ineffective respiratory movement b/c of profound skeletal muscle weakness
4. Diminished deep tendon reflexes
5. Disorientation, lethargy, coma
6. Hypoactive bowel sounds
7. Renal calculi

Front 7

Hypomagnesemia

Back 7

1. Tachycardia
2. Hypertention
3. Shallow respirations
4. Twitches, Posite Trousseau's and Cvostek's signs
5. Hyperreflexia
6. Tetany
7. Irritability, Confusion

Front 8

Hypermagnesemia

Back 8

1. Bradycardia
2. Hypotension
3. Respiratory insufficiency when skeletal muscles of respiration are involved
4. Diminished deep tendon reflexes
5. Drowsiness, lethargy
6. Skeletal muscle weakness