Electrolytes
Electrolytes Disturbances - AMBER MOORE, MSN, APRN - SPRING 2025
Objectives
Describe the etiology, laboratory diagnostic findings, clinical manifestations, and nursing and interprofessional management of the following disorders:
Sodium Imbalances: Hypernatremia and Hyponatremia
Potassium Imbalances: Hyperkalemia and Hypokalemia
Magnesium Imbalances: Hypermagnesemia and Hypomagnesemia
Calcium Imbalances: Hypercalcemia and Hypocalcemia
Phosphate Imbalances: Hyperphosphatemia and Hypophosphatemia
Identify the specific lab values, disease processes affecting these values, methods to correct the problems, and nursing interventions to reduce patient's risk factors.
Definition of Electrolytes
Electrolytes are electrically charged particles dissolved in water or gas.
This electrical charge causes cellular reactions and regulates body fluid distribution, expressed in MEQ/L (milliequivalents per liter).
Specific Electrolytes
Sodium (Na+)
Regulates blood osmolality, fluid volume, and neurological function.
Normal range: 136-145 mEq/L
Potassium (K+)
Critical for cardiac function and muscle activities.
Normal range: 3.5-5.0 mEq/L
Memorize these ranges
Calcium (Ca++)
Important for bone, muscle, and cardiac functions.
Has an inverse relationship with phosphorus.
Normal range: 9.0-10.5 mg/dL
Phosphorus (PO4)
Also has an inverse relationship with calcium.
Normal range: 3.0-4.5 mg/dL
Magnesium (Mg++)
Primarily absorbed via the gastrointestinal tract; significant in cardiac function.
Normal range: 1.3-2.1 mg/dL
Major Intracellular Electrolytes
Potassium (K+)
Magnesium (Mg++)
Phosphate (HPO4-)
Sulfate (SO4-)
Other electrolytes are present in small quantities within cells.
Major Extracellular Electrolytes
Sodium (Na+)
Chloride (Cl-)
Bicarbonate (HCO3-)
Calcium (Ca++)
Hyponatremia
Defined as serum sodium less than 136 mEq/L.
Common causes include:
Increased water gain diluting sodium (e.g., fluid overload, increased ADH).
Rarely due to low sodium intake.
Sodium Loss Causes
Diaphoresis, vomiting, diarrhea, feeding tube (NGT) suction.
Overuse of diuretics.
Adrenal insufficiency.
Manifestations
Symptoms include:
Nausea, abdominal cramps, weakness, fatigue.
Confusion, irritability, personality changes, potentially a coma with severe cases.
Prevention and Correction
To prevent:
Use normal saline for irrigations instead of distilled water.
Teach patients to replace fluid losses with juices instead of plain water.
To correct:
Administer prescribed hypertonic IV solutions cautiously (e.g., 3% NaCl).
Hypernatremia
Defined as serum sodium greater than 145 mEq/L.
Caused by excess sodium gain or water loss.
Increased Water Loss Causes
Watery diarrhea
Diabetes Insipidus
Decreased Water Intake Causes
Inadequate water consumption or excessive sodium intake.
Manifestations
Behavioral changes, confusion, lethargy, dry mucous membranes, extreme thirst, muscle weakness.
Prevention and Correction
To prevent:
Administer water between hypertonic tube feedings.
Teach elderly to drink fluids regularly.
To correct:
Monitor water replacement; use diuretics if applicable.
Hypokalemia
Defined as serum potassium less than 3.5 mEq/L.
Causes
Inadequate intake, excessive renal loss (diuretics), intestinal losses (vomiting), skin losses.
Manifestations
Muscle weakness, flaccid muscles, decreased bowel motility, confusion, potentially life-threatening cardiac arrhythmias.
Prevention and Correction
To prevent:
Educate on high potassium foods (e.g., bananas, spinach).
To correct:
Administer potassium supplements as ordered, use IV KCl cautiously.
Hyperkalemia
Defined as serum potassium greater than 5 mEq/L.
Causes
Medications, impaired renal excretion, adrenal insufficiency.
Manifestations
Cardiotoxicity, muscle dysfunction, GI hyperactivity, mental confusion.
Prevention and Correction
To prevent:
Monitor potassium infusions, educate on dietary restrictions.
To correct:
Administer fluids, administer sodium bicarb, use cation exchange resin if indicated.
Hypocalcemia
Defined as serum calcium less than 9.0 mg/dL.
Causes
Vitamin D deficiency, chronic insufficient dietary intake, hypoparathyroidism.
Manifestations
Muscle cramps, confusion, irritability, potential cardiac issues.
Prevention and Correction
To prevent:
Educate on dietary sources of calcium and vitamin D.
To correct:
Administer calcium supplements as ordered.
Hypercalcemia
Defined as serum calcium greater than 10.5 mg/dL.
Causes
Hyperparathyroidism, metastatic carcinoma, excessive vitamin D.
Manifestations
Muscle weakness, confusion, pathological fractures.
Prevention and Correction
To prevent:
Increase client mobility, restrict vitamin D.
To correct:
Administer diuretics and isotonic saline as prescribed.
Hypomagnesemia
Defined as serum magnesium less than 1.3 mg/dL.
Causes
Chronic alcoholism, kidney disease, diuretics.
Manifestations
Dysphasia, muscle weakness, seizures, cardiac arrhythmias.
Prevention and Correction
To prevent:
Provide diet counseling for at-risk patients.
To correct:
Administer IV magnesium as ordered and monitor renal function.
Hypermagnesemia
Defined as serum magnesium greater than 2.1 mg/dL.
Causes
Can occur in renal failure, especially with magnesium administration.
Manifestations
Hypotension, CNS depression, potential respiratory depression.
Prevention and Correction
To prevent:
Educate on Mg++ containing antacids.
To correct:
Administer fluids to increase urinary output, provide emergency calcium gluconate if indicated.
Hypophosphatemia
Defined as serum phosphate less than 2.7 mg/dL.
Causes and Manifestations
Can indicate a total body deficit or a shift into cells, leading to muscle weakness, confusion, and decreased heart contractility.
Prevention and Correction
To prevent:
Increase dairy products, consider phosphate oral medication.
To correct:
Administer IV sodium or potassium phosphate.
Hyperphosphatemia
Defined as serum phosphate greater than 4.5 mg/dL.
Causes and Manifestations
Commonly related to renal failure, may cause symptoms through secondary hypocalcemia.
Prevention and Correction
To prevent:
Restrict dairy, ensure hydration.
To correct:
Administer calcium supplements, dietary phosphate restrictions.