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Chapter 54: Fluids, Electrolytes, and Parenteral Therapy

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