ACNP Fluid & Electrolytes- Test Questions & Answers

ACNP Fluid & Electrolytes- Test
Questions & Answers
EKG changes Hyperkalemia Correct Ans-Tall peaked T waves (50% won't have changes




Hyperkalemia management Correct Ans-Time- Kayexalate

>6.5 or cardiac toxic-Insulin 10U & 1 amp D50



Calcium levels are affected by what 3 things? Correct Ans-calcitonin

PTH

Vit D



Calcium normal values Correct Ans-8.5-10.5




Ical normal value Correct Ans-4.5-5.5




Which Ca varies with albumin? Correct Ans-Total Ca




Acidemia does what to Ical? Correct Ans-increases




Corrected Ca formula Correct Ans-measured total Ca + 0.8

, Hypocalcemia- causes Correct Ans-hypoparathyroidism

hypomag

pancreatitis

RF

severe trauma

mx blood transfusions



Hypocalcemia s/sx Correct Ans-hypersx:

Inc. DTR's

muscle cramps

Trousseau's

Chvosteks

**Prolonged QTI



Hypocalcemia- management Correct Ans-check pH (alkalosis)

acute- IV calcium gluconate

chronic-oral supp, Vit D, alum. hydroxide



Hypercalcemia- causes Correct Ans-hyperparathyroidism

Vit D intox

prolonged immobilization

thiazide diuretics