Presentation
This presentation was consistent with flacainide cardiotoxicity exacerbated by electrolyte disturbance. The syncopal episodes probably represented life-threatening arrhythmias. [ncbi.nlm.nih.gov]
Calcium is also present in green leafy vegetables, legumes and nuts. Magnesium is present in whole grains, nuts and green vegetables. Normally, electrolytes are lost during sweating as while doing heavy physical work or travelling in hot weather. [newtimes.co.rw]
QUESTION 3 Phaeochromocytomas are well known for their diverse clinical presentation and manifestations. [pmj.bmj.com]
Entire Body System
- Weakness
Hypernatremia Muscle weakness, leg cramps, fatigue, lethargy, anorexia, nosia, vomiting, decreased bowel sounds/motility, arrhythmia, depressed deep-tendon reflexes, weak irregular pulses. [memorize.com]
Twitch, Twitch Seize, Seize Chovsteks and Trousseaus Also hypophosphatemia corresponds with reciprocal hypercalcemia, same s/s: weakness, apathy and mental confusion. [allnurses.com]
Having too much potassium in your system can cause muscular weakness, paralysis and possible life-threatening cardiac dysrhythmias. [thehealthy.com]
“Psych overtones” leave you feeling tired and weak, with a change in your mental alertness. Calcium levels lower than 8.5 mg/dL are considered as hypocalcemia. Dr. [livestrong.com]
- Pain
Hypocalcemia Lethargy, weakness, depressed deep tendon reflexes, bone pain, anorexia, nausea, vomiting, constipation, polyuria, hypercalciuria, renal calculy/ flank pain, dysrythmias, heart block. [memorize.com]
I know that reasons for low BP and chest pain in POTS patients are not clear. Thanks Aaron [dinet.org]
Bone Pains: Very high calcium levels (called hypercalcemia) can result in bone fractures, painful kidney stones, vomiting and constipation. The same condition can also make you feel tired and weak, with trouble concentrating. [draxe.com]
Symptoms are impaired cellular energy, o2 delivery, CNS depression, mental changes, muscle weakness and pain and irregular heart beats treatment of hypophosphatemia oral or IV phosphate supplements or foods rich in phosphate like cheese 50-60% of this [quizlet.com]
He soon realized, however, that he was recording his own painful journey through the ‘valley of the shadow’, as a father and as someone responsible for ministering to others in similar situations. [books.google.bg]
- Fatigue
Dehydration Increased thirst, dry mouth, dry skin, decreased urine output, fatigue, shortness of breath, stomach cramps. Sodium Loss Loss of appetite, stomach cramps, cold arms, and/or legs, fatigue, feeling faint. [zanecohencentre.com]
breznik 's version from 2012-02-26 05:37 Section Question Answer Lethargy, confusion, apprehension, muscle twitching, abdominal cramps, anorexia, nosia, vomiting, headache, seizures, coma, decreased thirst Hyponatremia Convulsions, disorientation, fatigue [memorize.com]
Fatigue Olena Yakobchuk/Shutterstock One of the most common symptoms of electrolyte imbalance is fatigue. Falling short on magnesium can be the culprit. “Magnesium is involved in more than 300 processes in the body,” says Foroutan. [thehealthy.com]
If stress is unrelenting and becomes chronic, adrenal burnout and fatigue progresses to its more advanced stages. [drlam.com]
A man presented with recurrent syncope, weakness and fatigue. His ECG showed marked QRS widening and he had gross hyponatraemia and hypokalaemia. His medications included bendroflumethiazide (long term) and flecainide (started 2 months previously). [ncbi.nlm.nih.gov]
- Congestive Heart Failure
Owing to the increasing numbers of patients with end-stage congestive heart failure awaiting heart transplant and the limited number of suitable donor organs, a decrease in stringency of donor criteria has become widely accepted over the last decade. [ncbi.nlm.nih.gov]
Other things that can alter your electrolyte levels include chemotherapy, congestive heart failure, eating disorders, severe burns, and poor diet. If any of these situations apply to you, speak with your doctor about your best course of action. [chistlukeshealth.org]
Green TP, Mirkin BL (1982) Determinants of the diuretic response to furosemide in infants with congestive heart failure. Pediatr Cardiol 3: 47-51. [omicsonline.org]
Patients experiencing congestive heart failure frequently end up as rebound hospitalizations due to irregular sodium and potassium levels. Diabetes and hypertension may eventually place a patient in a calcium or magnesium imbalance. [nurseslabs.com]
- Falling
* Changes have also been reported following alterations in magnesium levels. 7 A rise or fall of sodium content per se does not affect the electrocardiogram, but alterations in this electrolyte may indirectly change the potassium effect by inducing acidbase [jamanetwork.com]
So, a test value that falls outside of the established reference range may mean nothing significant. [labtestsonline.org]
As AFS progresses to advanced stages, aldosterone level tends to fall, resulting in low body fluid level. Next, low blood volume results and blood pressure falls. [drlam.com]
In Goodman CC, Boissonnault WG, editors: Pathology: implications for the physical therapist, Philadelphia, 1998, Saunders; Fall PJ: Hyponatremia and hypernatremia: a systematic approach to causes and their correction, Postgrad Med 107(5):75-82, 2000; [musculoskeletalkey.com]
Falling short on magnesium can be the culprit. “Magnesium is involved in more than 300 processes in the body,” says Foroutan. “It is also a big fatigue fighter.” [thehealthy.com]
Gastrointestinal
- Vomiting
Hypocalcemia Lethargy, weakness, depressed deep tendon reflexes, bone pain, anorexia, nausea, vomiting, constipation, polyuria, hypercalciuria, renal calculy/ flank pain, dysrythmias, heart block. [memorize.com]
Any condition that causes the body to lose too much water (such as diarrhea, vomiting, fever, or taking medicines called diuretics) can also lead to an electrolyte imbalance. [metrohealth.net]
Gastrointestinal fluid losses Gastrointestinal losses from diarrhea, vomiting, or nasogastric suctioning also are typical causes of hypokalemia. Vomiting leads to hypokalemia via complex pathogenesis. [nurseslabs.com]
You might also feel nauseated, or have abdominal cramping, vomiting, and swelling from fluid build-up. [mydoctor.kaiserpermanente.org]
- Diarrhea
Any condition that causes the body to lose too much water (such as diarrhea, vomiting, fever, or taking medicines called diuretics) can also lead to an electrolyte imbalance. [metrohealth.net]
Lactulose, which is used as a laxative, causes diarrhea by a similar mechanism. Overingesting certain foodstuffs (see Table: Some Causes of Diarrhea* ) can cause osmotic diarrhea. [merckmanuals.com]
Hypokalemia (low potassium) happens when our body loses fluid (diarrhea and vomiting) and from some medications like diuretics and laxatives, says Dr. Bal. [thehealthy.com]
- Nausea
As levels rise, patients complain of muscle weakness, fatigue, numbness or tingling and nausea and vomiting. At high doses, bradycardia, hypotension and respiratory arrest. [ems1.com]
Hypocalcemia Lethargy, weakness, depressed deep tendon reflexes, bone pain, anorexia, nausea, vomiting, constipation, polyuria, hypercalciuria, renal calculy/ flank pain, dysrythmias, heart block. [memorize.com]
Symptoms are lethargy, drowsiness, nausea, loss of deep tendon reflexes, respiratory and cardiac arrest treatment for hypermagnesemia IV calcium chloride or calcium gluconate (will oppose the effects of magnesium on cardiac muscle and promote urinary [quizlet.com]
Some possible symptoms include fatigue, lethargy, headaches, weakness, twitching, numbness, confusion, seizures, irregular heartbeat, nausea, vomiting, diarrhea, constipation, thirst, muscle cramps and many others. [nicklauschildrens.org]
The symptoms of an electrolyte imbalance can include: fatigue dizziness nausea weakness Chemotherapy can cause your electrolyte levels to become too low or too high. [breastcancer.org]
- Constipation
METHODS: Sixty-three cases of idiopathic constipation presenting between May 2008 and May 2010 were enrolled into the study after colonoscopy excluded an organic cause of the constipation. [ketogains.com]
Hypocalcemia Lethargy, weakness, depressed deep tendon reflexes, bone pain, anorexia, nausea, vomiting, constipation, polyuria, hypercalciuria, renal calculy/ flank pain, dysrythmias, heart block. [memorize.com]
You will have cramps, muscle weakness and even constipation. If your levels drop below 2.5 mEq/L, you can have poor reflexes and paralysis. If your blood’s calcium levels are higher than 10.2 mg/dL, this is considered to be hypercalcemia. [livestrong.com]
It’s also been shown to help with constipation, period cramps, and cravings (this was verified by Yours Truly), so if this is you, keep reading. Oxide is the most common form of magnesium sold. [ketogasm.com]
- Abdominal Pain
In higher doses, these effects may lead to electrolyte imbalance, diarrhea, and abdominal pain, which are common side-effects of the drug. From Wikipedia This example is from Wikipedia and may be reused under a CC BY-SA license. [dictionary.cambridge.org]
Calcium When a child has too much or too little calcium in the body, he or she can develop kidney stones, abdominal pain, weakness, muscle spasms, and a temporary abnormal heart rhythm, called an arrhythmia. [nyulangone.org]
You can also have abdominal pain and convulsions. You will have a facial spasm if your physician taps your facial nerve. This is called the Chvostek’s sign. [livestrong.com]
In irritable bowel syndrome (IBS), abdominal pain is related to defecation, associated with changes in stool frequency or consistency, or both. [merckmanuals.com]
Cardiovascular
- Heart Failure
References Hsu DT, Pearson GD (2009) Heart failure in children. Part II: Diagnosis, treatment and future directions. Circ Heart Fail 2: 490-498. [omicsonline.org]
Owing to the increasing numbers of patients with end-stage congestive heart failure awaiting heart transplant and the limited number of suitable donor organs, a decrease in stringency of donor criteria has become widely accepted over the last decade. [ncbi.nlm.nih.gov]
- Heart Disease
During that time, 443 died of coronary heart disease (CHD) and 825 of other cardiovascular causes. [healthcommunities.com]
Keywords Congestive heart failure; Congenital heart disease; Diuretics; Furosemide; Hyponatremia Introduction Among congenital heart diseases, ventricular septa defect (VSD) is the most commonly encountered lesion if bicuspid aortic valve is excluded [omicsonline.org]
Risk Factors You are at greater risk of developing an electrolyte disturbance if you have other health conditions, such as kidney disease, diabetes, or heart disease. [mydoctor.kaiserpermanente.org]
The #1 cause of death that is associated with elevated blood pressure is Hypertensive Heart Disease. There can be many causes to hypertension. [metabolichealing.com]
- Palpitations
Palpitations and/or tachycardia are directly linked to low potassium.....Tons of people show up at emergency rooms with palpitations, only to find out that their potassium levels are too low. [addforums.com]
A severe electrolyte imbalance may cause slow heart rate, palpitations, low blood pressure, confusion, lethargy, and coma. [copays.org]
Mild calcium deficiency (as could occur during exercise as opposed to long term dietary deficiency) can cause muscle cramps, heart palpitations, numbness or tingling in the hands and feet, irritability, and mental confusion. [ebtherapy.com]
The three most common presenting symptoms, which classically occur in intermittent episodes or ‘attacks’, are headache (60% of cases), sweating (52%) and palpitations (49%).1 Hypertension is constant in only about 50% of patients, paroxysmal in about [pmj.bmj.com]
- Heart Block
Hypocalcemia Lethargy, weakness, depressed deep tendon reflexes, bone pain, anorexia, nausea, vomiting, constipation, polyuria, hypercalciuria, renal calculy/ flank pain, dysrythmias, heart block. [memorize.com]
block Atria] asvstole Ventricular tachvcardiaí'fibrillation Asystole,,,diastolic cardiac arrest Neuromuscular Confusion Paraesthesia Muscle weakness Paralysis ECG = electrocardiooratn Table II - Clinical manifestations of hyponatraemia Therapeutics should [medbc.com]
Block • Polyuria • Kidney Stones • Renal failure • Bone pain • Fracture 166. [slideshare.net]
Musculoskeletal
- Muscle Weakness
Hypokalemia GI hyperactivity, diarrhea, irritability, apathy, confusion, muscle weakness/ areflexia, irregular pulse, decreased h.r, paresthesias, extremity numbness. [memorize.com]
Potassium Loss Fatigue, muscle weakness, shortness of breath, decreased sensation in arms and legs, and a gassy bloated feeling. Be aware of treatment measures for dehydration and electrolyte imbalance. Dehydration Increase fluids of any kind. [zanecohencentre.com]
The symptomes are reduced excitability of muscles and nerves, decreased memnory, confusion, disorientation, fatigue, muscle weakness, constipation, cardia dysrhythmias, and renal calculi treatment of hypercalcemia loop diuretic(furosemide) and hydration [quizlet.com]
Because nerves also stimulate your heart muscle, you can also have cardiac changes. Potassium levels lower than 3.5 mEq/L is defined as hypokalemia. Once again, your muscles are affected. You will have cramps, muscle weakness and even constipation. [livestrong.com]
- Muscle Spasm
Either of these can lead to serious cardiac arrhythmias, seizures and/or muscle spasms. [glossary.feast-ed.org]
Muscle Spasms If you are dehydrated, your potassium, magnesium, calcium and other electrolyte levels drop quickly. This abrupt fall can lead to muscle spasms, weakness, cramps, and pain. [drjockers.com]
Get Help With Your Treatment: How to Apply Online Information About the Disease Common symptoms of an electrolyte imbalance include weakness, fatigue, faintness, and muscle spasms. [copays.org]
Patients may experience tetany (muscle spasms), muscle weakness, difficulty breathing and fever. Calcium Why calcium is important: Calcium (Ca2+) is the most common cation in the body, with most of it found in bone and teeth. [ems1.com]
You may feel weak or numb, have muscle spasms, or twitch. Your heart may beat fast. Symptoms are different with each mineral. Too much is as bad as too little. Minerals help keep your body working as it should. [myhealth.alberta.ca]
- Muscle Cramp
[…] those muscle cramps that are prompted by activity-related muscle overload and fatigue. [journals.lww.com]
Muscle cramps often occur in middle-aged and older people and are common in athletes. [eletewater.co.uk]
Moderate hypokalemia may cause muscular weakness, muscle aching, muscle cramps (due to disturbed function of the skeletal muscles), and constipation (from disturbed function of smooth muscles). back to top Calcium is required for healthy bones, normal [ebtherapy.com]
Some possible symptoms include fatigue, lethargy, headaches, weakness, twitching, numbness, confusion, seizures, irregular heartbeat, nausea, vomiting, diarrhea, constipation, thirst, muscle cramps and many others. [nicklauschildrens.org]
- Leg Cramp
disorientation, fatigue, restlesness,Thirst, dry, sticky mucus membranes, tongue red/ swollen, weakness Hypernatremia Muscle weakness, leg cramps, fatigue, lethargy, anorexia, nosia, vomiting, decreased bowel sounds/motility, arrhythmia, depressed deep-tendon [memorize.com]
A few years ago, researchers in the United Kingdom found that 300 mg of supplemental magnesium reduced nighttime or nocturnal leg cramps in individuals who suffered chronic leg cramps. [eletewater.co.uk]
“Severe leg cramps while sleeping? Calf muscles are constricting and waking me up!” “Been keto for four weeks now. The last couple weeks I’ve been getting Charlie horses at night. What can I do to fix this?!” [ketogasm.com]
Symptoms of hypomagnesemia include vomiting, weight lose, leg cramps, muscle spasms, seizures, and irregular heartbeat CHLORIDE. Chloride is involved in regulating blood pressure. [diet.com]
Urogenital
- Renal Injury
HES is a risk factor for renal injury and need for RRT. If a synthetic colloid is chosen, do not exceed the manufacturer recommended maximal dose. Use maintenance fluids only when indicated and review need daily. 3. [intechopen.com]
Neurologic
- Confusion
Hypokalemia GI hyperactivity, diarrhea, irritability, apathy, confusion, muscle weakness/ areflexia, irregular pulse, decreased h.r, paresthesias, extremity numbness. [memorize.com]
Clinically the children showed transient neurological deficits including confusion, pseudobulbar palsy, and deterioration of consciousness. [ncbi.nlm.nih.gov]
If your symptoms of a possible electrolyte disturbance are severe, such as mental confusion, seizures, or irregular heart rate, seek emergency medical care. [mydoctor.kaiserpermanente.org]
Twitch, Twitch Seize, Seize Chovsteks and Trousseaus Also hypophosphatemia corresponds with reciprocal hypercalcemia, same s/s: weakness, apathy and mental confusion. [allnurses.com]
[…] treatment In hypernatremia, water loss in excess of Na loss causes ______________ hypertonic tube feedings, IV infusions In hypernatremia, Na intake in excess of water intake cause______ thirst, dry flushed skin, dry mucous membranes. poor skin turgor, confusion [quizlet.com]
- Lethargy
Hypocalcemia Lethargy, weakness, depressed deep tendon reflexes, bone pain, anorexia, nausea, vomiting, constipation, polyuria, hypercalciuria, renal calculy/ flank pain, dysrythmias, heart block. [memorize.com]
Signs and symptoms of hypercalcemia may include: • Nausea • Fatigue • Vomiting • Lethargy • Stomach Pain • Moodiness • Constipation • Irritability • Anorexia • Confusion • Excessive thirst • Extreme muscle weakness • Dry mouth or throat • Irregular heart [cancer.unm.edu]
Some possible symptoms include fatigue, lethargy, headaches, weakness, twitching, numbness, confusion, seizures, irregular heartbeat, nausea, vomiting, diarrhea, constipation, thirst, muscle cramps and many others. [nicklauschildrens.org]
Neurologically the pt will either get stimulated (seizures, twitches) or depressed (lethargy, weakness).The only ones you really need to know is Na, K, Ca, Mag and (Phosphate: just reciprocal to Ca) I know one saying for hypocalcemia (which has same s [allnurses.com]
Symptoms are lethargy, drowsiness, nausea, loss of deep tendon reflexes, respiratory and cardiac arrest treatment for hypermagnesemia IV calcium chloride or calcium gluconate (will oppose the effects of magnesium on cardiac muscle and promote urinary [quizlet.com]
- Headache
“I have a terrible headache!! And feeling shaky… What have I done?!” “More than a few times I have felt like shaky and dizzy like I was going to pass out.” “I’m shaky, headache, heart is fluttery… is this normal?” “This constipation is killing me!” [ketogasm.com]
Side effects include injection site reactions, headache, thirst, and low potassium levels. Publication Review By: Stanley J. Swierzewski, III, M.D. Published: 30 Apr 2001 Last Modified: 14 Sep 2015 [healthcommunities.com]
: main | yours | all (9) breznik 's version from 2012-02-26 05:37 Section Question Answer Lethargy, confusion, apprehension, muscle twitching, abdominal cramps, anorexia, nosia, vomiting, headache, seizures, coma, decreased thirst Hyponatremia Convulsions [memorize.com]
Some possible symptoms include fatigue, lethargy, headaches, weakness, twitching, numbness, confusion, seizures, irregular heartbeat, nausea, vomiting, diarrhea, constipation, thirst, muscle cramps and many others. [nicklauschildrens.org]
Symptoms of hyponatremia include headache, nausia, irritibility, disorientation, dizzyness, vomiting, seaizures, coma and death. It is not to be taken lightly. [outdoors.stackexchange.com]
- Irritability
Then there was Magnesium: Hypermagnesia (renal failure) CNS depression, hypo reflexes, brady, hypotension Hypomagnesia CNS stimulation, irritability, increased reflexes, ventricular irritability ---------------------------------------------------- [allnurses.com]
Hypokalemia GI hyperactivity, diarrhea, irritability, apathy, confusion, muscle weakness/ areflexia, irregular pulse, decreased h.r, paresthesias, extremity numbness. [memorize.com]
[…] aldosterone deficiency In hyponatremia, sodium loss is caused by _____- tap water enemas, excessive administration of hypotonic IV solutions, massive PO intake In hyponatremia, water gain could be caused by_ cellular swelling causing lethargy, twitching, irritability [quizlet.com]
Well, a symptom of hypomagnesemia causes CNS hyper irritability, which is usually assessed by abnormally strong reflexes (anything higher than a 2+). [yournursingtutor.com]
Symptoms of hyponatremia include headache, nausia, irritibility, disorientation, dizzyness, vomiting, seaizures, coma and death. It is not to be taken lightly. [outdoors.stackexchange.com]
- Dizziness
Typical mild symptoms of an electrolyte disturbance include dizziness and muscles cramps or weakness. You might also experience muscle spasms or twitching, numbness, and fatigue. [mydoctor.kaiserpermanente.org]
Dizziness One of the signs of an electrolyte imbalance is dizziness. If your sodium levels rise to quickly and drastically, it’s called hypernatremia. This condition is characterized by dizziness and weakness. [drjockers.com]
Confusion, Dizziness and Irritability: When your sodium levels rise too drastically (called hypernatremia), you can become dizzy and weak. When this worsens, it’s possible to become even more delirious and even experience a seizure or coma. [draxe.com]
The symptoms of an electrolyte imbalance can include: fatigue dizziness nausea weakness Chemotherapy can cause your electrolyte levels to become too low or too high. [breastcancer.org]
In the present study ondansetron was superior to metoclopramide concerning antiemetic efficacy and gave also less side- effects as diarrhea, dizziness, extrapyramidal symptoms and electrolyte imbalance (sodium, potassium, magnesium, phosphorous) during [ncbi.nlm.nih.gov]
Workup
QRS Wave
- Wide QRS Complex
On an EKG, wide QRS complexes and unusually tall, peaked T waves can be seen. [ems1.com]
CLINICAL MANIFESTATIONS CARDIOVASCULAR SYSTEM RESPIRATORY GI SYSTEM SYSTEM First tachycardia then bradycardia Slow, weak, irregular heart rate Decreased blood pressure ECG changes- peaked narrow T- waves, wide QRS complex, Depressed ST segment, widened [slideshare.net]
QT, RR, ST Intervals
- ST Elevation
Signs and symptoms of hyperkalemia can include ECG & EKG changes including ST elevation, peaked T waves among others. [youtube.com]
Hyponatremia and long-term mortality in survivors of acute ST-elevation myocardial infarction. Arch Intern Med. 2006;166:781–786. [PubMed] [Google Scholar] 7. Mahowald JM, Himmelstein DU. [ncbi.nlm.nih.gov]
- Prolonged QT Interval
Prolonged QT interval D. Shortened ST segment 68. A. Prominent U waves B. Prolonged PR interval C. Depressed ST segment D. Widened QRS complexes 69. A. Alcoholism B. Renal insufficiency C. Hypoparathyroidism D. Tumor lysis syndrome 70. [proprofs.com]
PR Interval
- Prolonged PR Interval
Prolonged QT interval D. Shortened ST segment 68. A. Prominent U waves B. Prolonged PR interval C. Depressed ST segment D. Widened QRS complexes 69. A. Alcoholism B. Renal insufficiency C. Hypoparathyroidism D. Tumor lysis syndrome 70. [proprofs.com]
PR interval : tall T waves : widened QRS 85. Administration of magnesium Ventilatory support IV calcium gluconate Administration of loop diuretics and sodium chloride Administration of lactated ringers IV solution 86. Risk for hypermagnesemia [slideshare.net]
Rhythm
- Torsades De Pointes
Ventricular tachycardia, ventricular fibrillation and torsade de pointes. [ecgwaves.com]
T Wave
- Peaking T Wave
t waves, tremors twitching (CNS stimulation) Hypokalemia: (too much lasix) tachycardia, hypotension, flacid muscles, flat t waves, u waves. [allnurses.com]
Signs and symptoms of hyperkalemia can include ECG & EKG changes including ST elevation, peaked T waves among others. [youtube.com]
Inverted T wave C. Prominent U wave D. Tall peaked T waves 61. A. The client with renal failure B. The client who is taking diuretics C. The client with hyperaldosteronism D. The client who is taking corticosteroids 62. A. Dry skin B. [proprofs.com]
T waves →widening of the QRS complex →prolongation of the P–R interval →loss of the P wave →loss of R- wave amplitude →ST-segment depression →an ECG that resembles a sine wave, before progression to ventricular fibrillation and asystole. Hypocalcemia [slideshare.net]
On an EKG, wide QRS complexes and unusually tall, peaked T waves can be seen. [ems1.com]
- Flattened T Wave
In severe cases, changes in the patient's EKG include a shortened QT interval associated with a shortened ST segment, flattened T waves and the presence of Osborn waves. [ems1.com]
SIGN & SYMPTOMS CARDIOVASCU LAR SYSTEM RESPIRATORY SYSTEM NEUROLOGICSY GI SYSTEM STEM MUSCULO- SKELETAL SYSTEM • Thready, weak, irregular pulse. • Weak peripheral pulses • Orthostatic hypotension • Dysrhythmias • Vertigo • Flattened T wave • Shallow, [slideshare.net]
Electrocardiographic manifestations of hypokalemia include a flattened T wave, prolongation of the QT interval, or the appearance of U waves. Severe hypokalemia can produce cardiac arrhythmias, ileus, and lethargy. [emedicine.medscape.com]
- T Wave Inversion
T-waves become wider with lower amplitude. T-wave inversion may occur in severe hypokalaemia. ST segment depression develops and may, along with T-wave inversions, simulate ischaemia. [ecgwaves.com]
Treatment
Treatments Treatment depends on which electrolyte is out of balance and the severity of the disturbance. It also depends on whether you have too much or too little of a certain electrolyte. [mydoctor.kaiserpermanente.org]
However, symptoms can sometimes be severe, and a person may need to be hospitalized and monitored during treatment. [medicalnewstoday.com]
Prognosis
This study aimed to investigate the etiology, risk factors and short-term prognosis of gastroenteritis with convulsion. [ncbi.nlm.nih.gov]
The prognosis is then poor as irreversible neurological damage and even death may occur. [helpher.org]
Prognosis A patient's long-term prognosis depends upon the root cause of the electrolyte disorder. However, when treated quickly and appropriately, electrolyte imbalances in and of themselves are usually effectively reversed. [medical-dictionary.thefreedictionary.com]
Admission hyponatremia in the elderly: factors influencing prognosis. J Gen Intern Med. 1994;9(2):89–91. Epub 1994/02/01. pmid:8164083. View Article PubMed/NCBI Google Scholar 11. Hawkins RC. [journals.plos.org]
Etiology
The etiologic agent in developed countries is viral in 15-60% of cases, while in developing countries, bacteria and parasites are frequently reported as the etiologic factors. Neurologic signs including convulsion are seen in some cases of diarrhea. [ncbi.nlm.nih.gov]
Calcium Hypercalcaemia Etiology of hypercalcaemia Primary hyperparathyroidism and malignancies cause 90% of all cases of hypercalcaemia. [ecgwaves.com]
ETIOLOGY Retention of Potassium- Renal insufficiency, renal failure, decreased urine output, potassium sparing diuretics. Excessive release of Cellular Potassium - severe traumatic injuries. [slideshare.net]
[…] is likely to be of infectious etiology, particularly when travel, possibly tainted food, or an outbreak with a point-source is involved. [merckmanuals.com]
Epidemiology
The USDA reported in epidemiological studies that 61% of the U.S. population does not ingest adequate magnesium from their diet. Post-operative patients were found to lack adequate magnesium 60% of the time! [metabolichealing.com]
Methods Statistics Trigonometry Medical & Nursing Anatomy Anesthesiology Audiology Bacteriology Biochemistry Bioethics Biomedical Science Cardiology Cardiovascular Childbirth Chiropractic Dentistry Dermatology Diagnostic Imaging Drugs Endocrinology Epidemiology [brainscape.com]
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
Observational retrospective cross sectional and epidemiological surveys have established an association between chronic hyponatremia and osteoporosis and major osteoporotic fracture [106, 107, 108, 109, 110, 111]. [intechopen.com]
Pathophysiology
In McCance KL, Huether SE, Brashers VL et al, editors: Pathophysiology, the biologic basis for disease in adults and children, ed 6, St Louis, 2010, Mosby, pp 96-125; The body fluid compartments: extracellular and intracellular fluids; edema. [musculoskeletalkey.com]
In this video Michael Linares, RN from Simple Nursing helps pinpoint the exact pathophysiology, causes, and treatments of fluid and electrolyte imbalances, which is expected to know for the NCLEX, HESI, ATI, and Kaplan proctor exams. [youtube.com]
In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills for fluis and electrolyte imbalances in order to: Identify signs and symptoms of client fluid and/or electrolyte imbalance Apply knowledge of pathophysiology [registerednursing.org]
PATHOPHYSIOLOGY Fluid shift from interstitial spaceto vascular space Hypervolemia Second Phase 94. [slideshare.net]
Prevention
Advice from the doctor at the Grand Canyon clinic as reported in the Wilderness Medicine Institute regarding the issue: Prevention is a matter of being sensible, which is so often the case. [outdoors.stackexchange.com]
Early detection of abnormality in serum electrolyte levels allows prompt initiation of measures to prevent further imbalances. [nurseslabs.com]
Luke’s Health Run Club to gain access to the tools you need to shape your training habits and prevent injury and illness. [chistlukeshealth.org]
How to replenish potassium to prevent keto flu: Overdosing on potassium can be extremely dangerous. [ketogasm.com]
Arrhythmias and cardiac arrest have been reported during amphotericin B administration but no effective technique has been described to prevent them. [ncbi.nlm.nih.gov]