Electrolyte Imbalances Quiz
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Questions and Answers

What is a common consequence of hypernatraemia?

  • Oedema
  • Psychogenic polydipsia
  • Aldosterone insufficiency
  • Cellular dehydration (correct)
  • Which condition is least likely to lead to hyponatraemia?

  • Salt wasting kidney disease
  • Diuretic use
  • Dehydration (correct)
  • ADH insufficiency
  • Which symptom is associated with hypernatraemia?

  • Wet cough
  • Restlessness
  • Headache
  • Nausea & vomiting (correct)
  • What is a clinical manifestation of hyponatraemia?

    <p>Myoclonic jerks</p> Signup and view all the answers

    What is a potential cause of hypernatraemia?

    <p>Diabetes insipidus</p> Signup and view all the answers

    What is a common cause of hyperkalaemia?

    <p>Vigorous exercise</p> Signup and view all the answers

    Which of the following signs is specifically associated with hyperkalaemia?

    <p>Peaked T waves</p> Signup and view all the answers

    What treatment is used to help lower potassium levels specifically in cases of acidosis?

    <p>Sodium Bicarbonate</p> Signup and view all the answers

    Hypokalaemia can result from which of the following conditions?

    <p>Excessive aldosterone</p> Signup and view all the answers

    Which electrolyte imbalance is most associated with muscle cramps and weakness?

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

    Study Notes

    Sodium Imbalances

    • Hypernatraemia (uncommon) can lead to CNS impairment, often due to ADH insufficiency, diabetic ketoacidosis, or diabetes insipidus.
    • Hyponatraemia (more frequent) associated with conditions like psychogenic polydipsia, 'salt wasting' kidney disease, aldosterone insufficiency, diuretic use, and dehydration.
    • Consequences of Hypernatraemia include cellular dehydration, stimulating thirst, nausea, vomiting, fever, and confusion.
    • Consequences of Hyponatraemia can result in edema, might be asymptomatic, or lead to CNS effects such as headaches, confusion, restlessness, and myoclonic jerks.

    Potassium Imbalances

    • Hyperkalaemia can result from acidosis (especially DKA), decreased aldosterone, K+ sparing diuretics, certain medications (ACE inhibitors, NSAIDs), vigorous exercise.
    • Signs of Hyperkalaemia include characteristic ECG changes (peaked T waves, sine wave patterns), Kussmaul’s respiration, muscle weakness, lethargy, and nausea.
    • Treatment options consist of calcium gluconate for cardiac protection, salbutamol, insulin with glucose, sodium bicarbonate (in acidosis), resin to remove K+ via GI tract, and dialysis as a last resort.

    Hypokalaemia

    • Common causes include thiazide diuretics, excessive aldosterone production (Conns syndrome), and excessive IV fluid administration.
    • Signs of Hypokalaemia consist of muscle weakness, fatigue, headaches, and arrhythmias, particularly ectopic beats, which can be serious in the context of digoxin toxicity.

    Electrolyte Balance

    • The balance between reabsorption and secretion is crucial for waste elimination (urea, uric acid, creatinine) and for retaining important electrolytes (Na+, K+, Ca2+, Mg2+, Cl-).
    • This regulatory process is essential for maintaining homeostasis within the body.

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    Description

    Test your knowledge on electrolyte imbalances, focusing on sodium (Na+). This quiz covers conditions like hypernatraemia and hyponatraemia, their causes, and effects on the central nervous system and kidney function. Gain insights into the clinical implications of sodium imbalances.

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