SERUM CONCETRATION
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ELECTROLYTE
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LOW
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HIGH
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Na⁺
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Disorientation, stupor, coma
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Neurologic irritability, delirium, coma
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Cl⁻
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2ᵈᵃ to metabolic alkalosis, hypokalemia, hypovolemia, ↑aldosterone
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2ᵈᵃ to non gap anion acidosis
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K⁺
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U waves on ECG, flattened T waves, arrhythmias, paralysis.
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Peaked T waves, wide QRS, arrhythmias
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Ca²⁺
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Tetany, neuromuscular irritability
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Delirium, renal stones, abdominal pain, not necessarily calciuria
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Mg²⁺
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Neuromuscular irritability, arrhythmias
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Delirium, ↓DTRs, cardiopulmonary arrest
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PO₄ᶟ⁻
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Bones loss, Osteomalacia
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Renal stones, metastatic calcifications
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References:
Le, T., Bhushan, V., & Grimm, L. (2011). First AID for the USMLE STEP 1. USA: McGraw-Hill.
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