Electrolyte Imbalances - Magnesium
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Questions and Answers

At what serum magnesium level does bradycardia and drowsiness begin to appear?

  • 5 mEq/L (correct)
  • 3 mEq/L
  • 4 mEq/L
  • 7 mEq/L
  • What symptom is associated with a serum magnesium level of 8 mEq/L?

  • Nausea and vomiting
  • Flaccid paralysis (correct)
  • Mild hypotension
  • Facial paresthesia
  • Which of the following symptoms may occur at a serum magnesium level of 12 mEq/L?

  • Mild hypotension
  • Respiratory arrest (correct)
  • Diminished DTR
  • Feelings of warmth
  • Which of the following magnesium levels is associated with loss of deep tendon reflexes (DTR)?

    <p>7 mEq/L</p> Signup and view all the answers

    Severe hypotension is indicated by a diastolic pressure that is:

    <p>Lower than normal</p> Signup and view all the answers

    What is the main purpose of converting lactate to bicarbonate in the liver?

    <p>To increase bicarbonate levels.</p> Signup and view all the answers

    What is a crucial component monitored in the assessment of electrolyte imbalances?

    <p>ABG values.</p> Signup and view all the answers

    What is the normal serum phosphorus level range?

    <p>2.7 to 4.5 mg/dL</p> Signup and view all the answers

    Why is phosphorus essential for the body?

    <p>It is required for the formation of ATP.</p> Signup and view all the answers

    What electrolyte imbalance is often discussed in relation to hyperchloremia?

    <p>Bicarbonate levels.</p> Signup and view all the answers

    What is the primary role of phosphorus in the body?

    <p>Maintaining acid–base balance</p> Signup and view all the answers

    Which organ is primarily involved in the excretion of phosphorus?

    <p>Kidneys</p> Signup and view all the answers

    Which dietary source is NOT a major provider of phosphorus?

    <p>Fruits</p> Signup and view all the answers

    How does the body regulate phosphorus levels?

    <p>Through the action of parathyroid hormone</p> Signup and view all the answers

    Where in the gastrointestinal tract is most ingested phosphorus absorbed?

    <p>Jejunum</p> Signup and view all the answers

    In which patients should the use of the medication be avoided?

    <p>Patients with impaired liver or renal function</p> Signup and view all the answers

    What vital sign is particularly important to monitor due to the potential for hypokalemia?

    <p>Heart rate</p> Signup and view all the answers

    Which electrolyte levels should be monitored for patients at risk of imbalances?

    <p>Chloride, sodium, potassium, and bicarbonate</p> Signup and view all the answers

    What should be offered to a patient who is alert and can swallow without difficulty?

    <p>Foods high in chloride, such as tomato juice or salty broth</p> Signup and view all the answers

    What should be kept handy in case the patient's condition deteriorates?

    <p>Emergency equipment</p> Signup and view all the answers

    Which symptom should be observed to assess for worsening respiratory function?

    <p>Altered respiratory rate and pattern</p> Signup and view all the answers

    Which arterial blood gas (ABG) results are significant for assessing acid-base imbalance?

    <p>pH level</p> Signup and view all the answers

    What muscle-related indicator should be monitored in patients at risk?

    <p>Muscle strength and movement</p> Signup and view all the answers

    What is a potential sign of hypocalcemia that should be monitored?

    <p>Paresthesia</p> Signup and view all the answers

    Which treatment can be used to help increase renal excretion of phosphorus?

    <p>Acetazolamide</p> Signup and view all the answers

    What action should be taken if signs of calcification are detected?

    <p>Notify the practitioner</p> Signup and view all the answers

    How can the effectiveness of antacids in binding phosphorus be increased?

    <p>Giving them with meals</p> Signup and view all the answers

    What vital sign alteration can indicate hyperactive reflexes?

    <p>Irregular heart rate</p> Signup and view all the answers

    Study Notes

    Electrolyte Imbalances - Magnesium

    • Magnesium is essential for many bodily functions including:

      • Nerve function
      • Muscle contraction
      • Heart rhythm
      • Blood sugar control
    • Symptoms of magnesium deficiency (hypomagnesemia) can be:

      • Mild:

        • Feelings of warmth
        • Flushed appearance
        • Mild hypotension
        • Nausea and vomiting
      • Moderate:

        • Facial paresthesia
        • Diminished deep tendon reflexes (DTR)
        • Muscle weakness
      • Severe:

        • Drowsiness
        • ECG changes
        • Bradycardia
        • Worsening hypotension
        • Loss of DTR
        • Respiratory compromise
        • Heart block
        • Flaccid paralysis
        • Coma
        • Respiratory arrest
    • Nursing management for magnesium deficiency (hypomagnesemia):

      • Monitor vital signs, especially cardiac rhythm
      • Monitor serum electrolyte levels (sodium, potassium, chloride, bicarbonate)
      • Assess arterial blood gas (ABG) results for acid-base imbalance
      • Provide foods high in chloride, such as tomato juice or salty broth

    Electrolyte Imbalances - Chloride

    • Chloride is an important electrolyte that plays a role in:

      • Fluid balance
      • Acid-base balance
      • Nerve function
    • Causes of hypochloremia (low chloride levels) can be associated with:

      • Excessive vomiting or diarrhea
      • Use of diuretics
      • Adrenal insufficiency
    • Symptoms of hypochloremia (low chloride levels) can be:

      • Muscle weakness
      • Fatigue
      • Confusion
      • Coma
    • Nursing management for hypochloremia:

      • Monitor vital signs
      • Monitor and record serum electrolyte levels, especially chloride levels, sodium, potassium, and bicarbonate
      • Assess arterial blood gas (ABG) results for acid-base imbalance
      • Offer foods high in chloride, such as tomato juice or salty broth
      • If the patient’s condition deteriorates, have emergency equipment handy

    Electrolyte Imbalances - Phosphorus

    • Phosphorus is an essential mineral that plays a role in:

      • Bone and teeth formation
      • Energy production
      • Muscle function
      • Nerve function
    • Regulation of Phosphorus:

      • Phosphorus is readily absorbed through the gastrointestinal (GI) tract
      • Absorption is proportionate to the amount ingested
      • Most phosphorus is absorbed through the jejunum
      • Kidneys excrete 90% of phosphorus
      • Parathyroid hormone (PTH) regulates serum levels
      • PTH regulates phosphorus levels by affecting the activity of parathyroid hormone
    • Major dietary sources of phosphorus:

      • Dairy products (milk, cheese)
      • Dried beans
      • Eggs
      • Fish
      • Nuts and seeds
      • Organ meats (brain, liver)
      • Poultry
      • Whole grains
    • Nursing management for phosphorus imbalance:

      • Monitor vital signs
      • Monitor and record serum phosphorus levels
      • Assess arterial blood gas (ABG) results for acid-base imbalance
      • If the patient’s condition deteriorates, have emergency equipment handy
      • Give antacids with meals to increase their effectiveness in binding phosphorus
      • Notify the practitioner if signs or symptoms of calcification are detected (oliguria, visual impairment, conjunctivitis, irregular heart rate, palpitations, papular eruptions)

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    Description

    This quiz explores the essential role of magnesium in the body, including its impact on nerve function, muscle contraction, and heart rhythm. It also covers the symptoms of magnesium deficiency and the nursing management strategies for hypomagnesemia. Test your knowledge on this critical electrolyte and its importance in healthcare!

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