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Why are minerals required?
To maintain homeostasis and metabolism
How do you get adequate mineral intake?
Through a balanced diet
What are 2 main types of minerals?
Micro minerals
Macro minerals
Are either ions or electrolytes
Found in body fluid or molecules
Supplements are used to correct/prevent which diseases and imbalances?
Osteoporosis
Anemia
Hypokalemia
Hyponatremia
Hypophosphatemia
Excess amounts can lead to toxicity
Micro Minerals
“trace minerals”
Iron
Zinc
Iodine
Fluoride
Macro minerals
> 100mg daily
Calcium
Potassium
Magnesium
Sodium
Chloride
Sulfur
Phosphorous
Calcium is essential for what?
Nerve conduction, muscular contraction, and bone construction
Symptoms of low calcium
irritable and restless, muscle twitches, cramps, spasms, increased risk of fractures
What is hypocalcemia?
Low calcium levels
Occurs with diarrhea, decreased secretion of parathyroid hormone, lack of Ca rich foods or Vit D
Pharmacotherapy: calcium, citrate, gluconate, lactate
Calcium gluconate: prototype to treat hypocalcemia and osteoporosis
Normal Ca+ range
Adult: 9.0-10.5
What is phosphorous essential for?
Bone structure, blood buffer
Highly binds to Calcium
What is hypophosphatemia?
Low phosphorous levels
Primarily seen in pts with kidney disorders, severe malnutrition, or GI malabsorption
Symptoms: weakness, muscle tremors, anorexia, weak pulse
Pharmacotherapy: Sodium or potassium phosphate
Phosphorous normal range
Adult: 3.0-4.5
Potassium
Essential for regulating cellular function
Must be carefully balanced between dietary intake and renal excretion
Potassium excretion highly influenced by aldosterone (hormone that stimulates the kidneys to actively secrete K+ in urine)
Symptoms of Hypo/Hyperkalemia
Cardiac dysrhythmias / cardiac arrest
Heart blocks
Myocardial infarctions
Muscle weakness/twitching
Abnormal cramping
Diarrhea
Normal serum potassium range
Adult: 3.5-5.0 MEQ
Causes of Hypokalemia
Diuretics
Vomiting
Diarrhea
NGT suction
Strenuous muscular activity
How to correct Hypokalemia
Diet- Foods rich in potassium (sweet potatoes, bananas, dried fruits
PO or IV replacement- Potassium chloride
Causes of Hyperkalemia
Kidney failure
Potassium sparing diuretics: spironolactone (Aldactone)
Diet- Foods rich in potassium or salt substitutes
How to correct Hyperkalemia
Laxatives: Lactulose PO or rectal
Potassium binding drugs (Kayexalate or Lokelma PO or rectal)
Insulin SQ- regular insulin drives potassium into the cell and lowers the serum level of potassium
Diet- restrict potassium rich foods
Dialysis with renal failure
Protype: Potassium Chloride