Wednesday, November 16, 2011

ELECTROLYTE DISTURBANCES



SERUM CONCETRATION
ELECTROLYTE
LOW
HIGH
Na⁺
Disorientation, stupor, coma
Neurologic irritability, delirium, coma
Cl⁻
2ᵈᵃ to metabolic alkalosis, hypokalemia, hypovolemia, ↑aldosterone
2ᵈᵃ to non gap anion acidosis
K⁺
U waves on ECG, flattened T waves, arrhythmias, paralysis.
Peaked T waves, wide QRS, arrhythmias
Ca²⁺
Tetany, neuromuscular irritability
Delirium, renal stones, abdominal pain, not necessarily calciuria
Mg²⁺
Neuromuscular irritability, arrhythmias
Delirium, ↓DTRs, cardiopulmonary arrest
PO₄ᶟ⁻
Bones loss, Osteomalacia
Renal stones, metastatic calcifications


References:

Le, T., Bhushan, V., & Grimm, L. (2011). First AID for the USMLE STEP 1. USA: McGraw-Hill.

 

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