fluid electrolyte 1 winter qtr 2011(2)
TRANSCRIPT
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THIS
IS
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With
Host...
Your
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100 100 100 100 100 100
200 200 200 200 200 200
300 300 300 300 300 300
400 400 400 400 400 400
500 500 500 500 500 500
Fill in the “EMIA”
Name That Imbalance
HYPO- “termic”
F – E Jive Just Sign Here
Hyper – “Bully”
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Often found in Fluid Volume Deficit.
A 100
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What is hypernatremia?
A 100
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Classic signs of this are those of the neuromuscular system,
including tetany and hyperactive DVRs.
A 200
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What is hypercalcemia?
A 200
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Patient may show signs of lethargy, headaches,
personality changes, and confusion.
A 300
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What is hypercalcemia?
(Tried to trick you here – these symptoms may be
exhibited, in part, with other electrolyte imbalances, but this combo points to excess
calcium.)
A 300
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Patient may demonstrate anemia, bruising, or bleeding
and spasms.
A 400
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What is hyperphosphatemia?
(including associated anxiety and slurred speech)
A 400
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Patient presents a slow, irregular heartbeat with ECG changes of a tall peaked T- wave and a prolonged PR-
interval.
A 500
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What is hyperkalemia?
(may include nausea and diarrhea).
A 500
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Flattened “T” waves and “ST” segment depression, if patient is hooked to a heart
monitor.
B 100
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What is hypokalemia?
B 100
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Causes bone pain and the formation of kidney stones.
B 200
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What is hypercalcemia?
B 200
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A blood pressure cuff is applied to the arm and
inflated at least 20 mm Hg greater than the systolic blood
pressure.
B 300
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What is the method for checking for Trousseau’s
sign?
(seen in patients with HYPOcalcemia)
B 300
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General manifestations may include hyperactive bowel
sounds and increased bleeding and bruising.
B 400
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What is HYPOcalcemia?
B 400
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As blood volume decreases, heart rate increases and pulse
is weak and thready.
B 500
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What is FVD?
(also note flattened veins in the neck and hands)
B 500
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Total serum level falls below 8.9 mg/dL.
C 100
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What is HYPOcalcemia?
(ionized Ca2+ falls below 4.5 mg/dL)
C 100
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Serum levels are less than 1.4 mEq/L.
C 200
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What is HYPOmagnesemia?
(Symptoms may not appear until levels fall below 1.0
mEq/L)
C 200
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Serum levels are less than 2.5 mg/dL (note slurred speech)
C 300
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What is HYPOphosphatemia?
(with fingertip numbness, tremors, and generalized
muscle weakness)
C 300
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DAILY DOUBLE
C 400
DAILY DOUBLE
Place A Wager
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Serum levels fall below 135mEq/L and affect mostly the neurological system. (a
major as-SALT on the body!)
C 400
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What is HYPOnatremia?
(may include nausea, diarrhea, cramps, tremors,
and particularly headaches)
C 400
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FVD leads to this tendency to become lightheaded (dizzy)
upon rising to stand up.
C 500
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What is postural HYPOtension?
(related to a decrease in blood pressure)
C 500
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FVE
D 100
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What is Fluid Volume Excess (Overload)?
D 100
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CVP
D 200
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What is Central Venous Pressure?
(It reflects the amount of blood returning to the heart – a good approximation of right
atrial pressure)
D 200
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Value of deepest assessed edema.
D 300
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What is +4?
(That would be the “pits”!)
D 300
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Tap on a patient’s cheek and a contraction of the upper lip,
nose and cheek occurs.
D 400
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What is a positive Chvostek’s sign? (seen in
HYPOcalcemia, but also in HYPOmagnesemia)
D 400
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Note its location, amount, bilateral status and capillary
refill.
D 500
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What are the documentation values for edema?
D 500
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Full and bounding pulse, increased blood pressure, brisk capillary refill, and
distended neck veins.
E 100
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What is Fluid Volume Overload (Excess)?
E 100
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With FVE, the percentage weight gain related to the
renal system that is considered “severe”.
E 200
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What is 8%?
(causing edema – gravity dependent and first appears
distally in a patient’s extremities)
E 200
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The best places for this assessment are the forehead, sternum, and the inner thigh. (Should we “canvass” all the
student nurses?)
E 300
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What is skin “tenting”?
(Maybe we should take a “pole” instead!)
E 300
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1.003 – 1.035.
E 400
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What is the normal range for urine specific gravity?
(optimal range is 1.010 – 1.025)
(I was pissed when I missed this one!)
E 400
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A “cuffed” patient demonstrates a spasm with a
flexed wrist and extended fingers.
E 500
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What is a positive Trousseau’s sign?
(seen in HYPOcalcemia)
E 500
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Blood serum level exceeds 145 mEq/L.
F 100
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What is HYPERnatremia?
F 100
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Blood values are greater than 4.5 mg/dL (anorexia and tachycardia may also be
present).
F 200
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What is HYPERphosphatemia?
(“I have a “stinging” sensation it includes
paresthesias and tetany,” he said jerkily.)
F 200
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Patient complains of thirst and has dry, sticky mucous
membranes, plus some muscle twitching.
F 300
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What is HYPERnatremia?
(may also have flushed skin and increased body
temperature)
F 300
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Total electrolyte level is greater than 10.1 mg/dL or (ionized) greater than 5.1
mg/dL.
(Really trying to “milk” this one…)
F 400
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What is HYPERcalcemia?
F 400
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Serum levels are greater than 2.1 mEq/L (including muscle
twitching and decreased DTRs).
F 500
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What is HYPERmagnesemia?
(also note a prolonged “P-R” level and a slow heart rate)
F 500
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The Final Jeopardy Category is:
Fluid Volume Deficit
Please record your wager.
Click on screen to begin
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Cultural phenomenon that explains why certain patients do
NOT remedy a dehydrated condition.
Click on screen to continue
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What is perceiving thirst as “hunger” and thereby seeking
food, rather than liquids in order to rehydrate themselves.
Click on screen to continue
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Thank You for Playing Jeopardy!
Game Designed By C. Harr-MAIT