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Chapter 54: Fluids, Electrolytes, and Parenteral Therapy

Horizontales
M-U-R-D-E-R: muscle cramps, urine abnormalities, respiratory distress, decreased cardiac contractility, ECG changes, reflexes
Lethargy, drowsiness, impaired respiration, flushing, sweating, hypotension, weak to absent deep tendon reflexes
Normal laboratory values: 9–11 mg
B-A-C-K-M-E: bone pain, arrhythmias, cardiac arrest, kidney stones, muscle weakness, excessive urination
Normal laboratory values: 3.5–5.0 mEq/L
Verticales
S-A-L-T-L-O-S-S: stupor/coma, anorexia, lethargy, tendon reflex decrease, limp muscles/weakness, orthostatic hypotension, seizures/headache, stomach cramping
"A Sic Walt": alkalosis, shallow respirations, irritability, confusion/drowsiness, weakness/fatigue, arrhythmias, lethargy, thready pulse
Leg and foot cramps, hypertension, tachycardia, neuromuscular irritability, tremor, hyperactive deep tendon reflexes, confusion, disorientation, visual or auditory hallucinations, painful paresthesias, positive Trousseau sign, positive Chvostek sign, convulsions
"You are FRIED": fever/flushed skin, restless/irritable, increased BP and fluid retention, edema, decreased urinary output/dry mouth
Normal laboratory values: 1.5–2.5 mEq/L
C-A-T-S: Convulsions, Arrhythmias, Tetany, Stridor & Spasms
Normal laboratory values: 135–145 mEq/L