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Topic: Electrolyte disturbance



  
 Electrolyte disturbance
In medicine, electrolyte disturbances are elevated or depressed levels of circulating electrolytes.
http://pedia.newsfilter.co.uk/wikipedia/e/el/electrolyte_disturbance.html

  
 [P&S; Medical Review:Spring:97] *On Diabetic Acidosis:A Detailed Study of Electrolyte Balances Following the ...
Furthermore, as was pointed out in the preceding section, the effect of these changes in electrolyte and water excretion on the electrolyte pattern of the blood serum is qualitatively similar to that observed in diuresis in cardiac and nutritional edema.
We have repeatedly called attention to the difficulty of interpreting electrolyte balance studies in the absence of data on skin excretion.
Since glycogen storage is entirely an intracellular phenomenon, it may be inferred that all water released by glycogen breakdown should have the electrolyte structure of intracellular fluid.
http://cpmcnet.columbia.edu/news/review/archives/medrev_v4n1_0005.html

  
 Nouriche C.H.E.E.R.S. Electrolyte
Scours is a general term for a disease process which results in a disturbance in the flow of water back and forth, between the blood and the intestine (gut).
C.H.E.E.R.S. Third Generation Electrolyte Formulation Is Derived From Discoveries by the World Health Organization.
  In attempting to achieve osmotic balance, the body tries to dilute the excess dextrose from the electrolyte solution that arrives in the intestine, by sending crucial fluid from the blood, where it is needed, back to the gut. 
http://www.nouriche.com/electrolytes.html

  
 Reversing Autism with Nutrition
Armed with this information, the clinician is able to produce a better prognosis for those who were once imprisoned in an unyielding haze of degenerative conditions.
Alex was receiving regular training in Sensory Integration Therapy, using play-like movements in which the child performs motions such as spinning, rolling, jumping, and swinging.
By looking at the blood chemistry of a child with autism, you gain a picture of that child's uniqueness, from which you can accurately determine nutritional factors that have contributed to the appearance of autism, and thereby need correcting.
http://www.vaccinationnews.com/DailyNews/July2002/ReversingAutism22.htm

  
 Nursing Spectrum- Career Fitness Online
When the RN assesses patients for fluid, electrolyte, and acid-base imbalances, he or she must take a nursing history, perform a physical assessment, look at clinical measurements, review lab test results, and monitor the patient’s cardiac and respiratory status.
Homeostasis is controlled and regulated by the body’s physiological processes — with a complicated interplay among water, acid-base balance, and electrolytes.
The human body seeks homeostasis, a state of equilibrium in its internal environment.
http://www.nursingspectrum.com/MagazineArticles/article.cfm?AID=11971

  
 Electrolyte Disturbance in Acute Asthma -- Tan et al. 126 (4): 809S -- Chest Meeting Abstracts
Electrolyte Disturbance in Acute Asthma -- Tan et al.
disturbance in patients admitted with acute asthma to our institution
and to examine the association between electrolyte disturbance
http://meeting.chestjournal.org/cgi/content/abstract/126/4/809S

  
 Electrolyte news article archive
The committee found he told her there was nothing wrong with the baby’s chest and prescribed electrolyte powder and indicated to the mother that the baby...
Serum electrolyte levels should be monitored frequently, and hypokalemia should be treated with potassium administration, the addition of a potassium-sparing...
http://drugs.mongabay.com/news/Electrolyte.html

  
 Health, Autistic Spectrum Disorder
Children with autism are similar in their nitrogen, electrolyte and bicarbonate disturbance.
Unfortunately, their acidosis further forces their electrolytes to precipitate out, disturbs their lipid brain metabolism and leads to deeper biochemical derangement.
Carbs give a jolt of energy and for a short time clear thinking.
http://www.springboard4health.com/notebook/health_autism.html

  
 Electrolyte Disturbances in Patients With Chronic, Stable Asthma : Effect of Therapy -- Alamoudi 120 (2): 431 -- Chest
Electrolyte Disturbances in Patients With Chronic, Stable Asthma : Effect of Therapy -- Alamoudi 120 (2): 431 -- Chest
Normal values for electrolytes in our laboratory are as follows: potassium,
Berkelhammer, C, Bear, RA (1984) A clinical approach to common electrolytes problems.
http://www.chestjournal.org/cgi/content/full/120/2/431

  
 ENW: Water and Salts: Maintaining the Internal Seas in Harmony - Common Electrolyte Disturbances in the ED  ...
If the patient is significantly dehydrated, has an electrolyte disturbance, or other issues, it may be necessary to admit the patient for gentle rehydration.
And, you might notice a little drowsiness, but it’s OK to enjoy that as much as you like.
"Water and Salts: Maintaining the Internal Seas in Harmony - Common Electrolyte Disturbances in the ED"
http://enw.org/Electrolytes.htm

  
 SELECT GI fluid loss critical care
Anticipation and prevention – it is well-recognised that patients after abdominal aortic aneurysm surgery often have problems with establishment of oral feeding, especially in emergency cases it seems that the retroperitoneal surgery, with or without haematoma formation, can lead to problems with gastric emptying.
describe the underlying pathophysiological mechanisms and the associated electrolyte and acid-base disturbances
Careful study of the patients fluid balance chart may provide the first indication of a problem.
http://www.edu.rcsed.ac.uk/select/cc16.htm

  
 THE MERCK MANUAL, Sec. 2, Ch. 12, Water, Electrolyte, Mineral, And Acid-Base Metabolism
Most clinical laboratories now use different techniques; therefore, the normal range of the anion gap has decreased and may be as low as 5 to 11 mEq/L. Clinicians should consider their particular laboratory's reference range when assessing the anion gap.
Table 12-8 shows primary changes in the four simple acid-base disturbances and the expected compensation.
along with recognition of the underlying disease process is usually sufficient to correctly solve most clinical acid-base disturbances.
http://www.merck.com/mrkshared/mmanual/section2/chapter12/12g.jsp

  
 Electrolyte Imbalance
Electrolytes must exist in the body within a narrow concentration range in order to effectively serve a variety of critical functions (see table 1).
Tumor lysis syndrome: When cancer cells are killed by therapy, they may spill their inner (intracellular) contents, which accumulate in the body faster than can be eliminated.
Which electrolyte disorders are most serious for cancer patients?
http://patient.cancerconsultants.com/supportive_treatment.aspx?id=23137

  
 Canadian Medical Association Journal Volume 166
Newer methods using ion-selective electrodes in the measurement of serum electrolytes may avoid this problem.
Hypovolemia can be determined clinically by the presence of postural changes in blood pressure and pulse rate.
There are serious neurologic sequelae associated with hyponatremia and its treatment.
http://www.diesis.com/fabrizio/hyponatremia.htm

  
 Isotonic Dehydration
Both methods start with a clinical determination of the degree of dehydration.
The same child as above comes into the ER, but this time, he would like his iv fluid therapy to be calculated on a body surface area basis.
Just as there are several ways to calculate maintenance fluids (the Holliday-Segar method, caloric method, and the body surface area method), there are a couple of ways to calculate the fluid and electrolyte deficit.
http://gucfm.georgetown.edu/welchjj/netscut/fen/isotonic_dehydration.html

  
 [No title]
The whole effect of hemp being less violent, and producing a more natural sleep, without interfering with the actions of the internal organs, it is certainly often preferable to opium, although it is not equal to that drug in strength and reliability.
His most spectacular success came, however, when he quelled the wrenching muscle spasms of tetanus and rabies with the fragrant resin.
In light of such assets as minimal toxicity, no buildup of tolerance, no physical dependence, and minimal autonomic disturbance, immediate major clinical reinvestigation of cannabis preparations is indicated in the management of pain, chronic neurologic diseases, convulsive disorders, migraine headache, anorexia, mental illness, and bacterial infections.
http://www.eff.org/Net_culture/Ritual/Drugs/hemp.propaganda

  
 ME343
Emphasis is placed on thorough history taking and physical examination, performance of urinalysis, formulation of diagnostic and therapeutic plans appropriate use of laboratory studies, including renal biopsy.
Seminars, clinical and physiological conferences and other small group exercises will supplement clinical experiences and emphasize the scientific basis of clinical problems.
Basic mechanisms in the pathophysiology of the disease process will be stressed, as well as the practical aspects of diagnosis and therapy.
http://renal2.med.upenn.edu/RehdWeb/me343a.html

  
 Electrolyte disturbance - Wikipedia, the free encyclopedia
blood." (Note, this doesn't mean that the disturbance is only in the blood; usually, electrolyte disturbance is systemic.
Other electrolyte imbalances are less common, and often occur in conjunction with major electrolyte changes.
There is a standard nomenclature for electrolyte disorders:
http://en.wikipedia.org/wiki/Electrolyte_disturbance

  
 Electrolyte Disturbances
Electrolytes play a vital role in maintaining homeostasis within the body.
Although the patient is losing many electrolytes, their initial levels may be normal or elevated due to cell death within the body and release of intracellular electrolytes.
The most common reason by far for a patient to have a significant imbalance is due to renal impairment.
http://www.ace.cc/Critical%20Care%20Topics/electrolyte_disturbances.htm

  
 nurseat
Criteria for evaluating the effectiveness of interventions associated with anorexia nervosa.
In INTERVENTIONS FOR BODY IMAGE DISTURBANCE FOR ANOREXIA NERVOSA, consider:
In INTERVENTIONS FOR MOOD DISTURBANCE FOR ANOREXIA NERVOSA, consider:
http://www.langara.bc.ca/vnc/nurseat.htm

  
 Brief Reports
Although it can have fatal consequences, timely intervention yields encouraging results.
Hypokalemia a commonly encountered electrolyte disturbance has diverse as well as serious manifestations like muscular paralysis, paralytic ileus, respiratory muscle paralysis, cardiac arrhythmia and even arrest(1-3).
http://www.indianpediatrics.net/99nov10.htm

  
 vitacost.com - Top brand vitamins at wholesale cost!
This method permitted quantification of changes of muscle-excitability in terms of the potassium chloride concentration capable of disturbing the electrical activity of the studied muscles.
Dystrophic myotonic muscles appeared highly sensitive to extracellular potassium and, unlike normal muscles, were unable to accumulate potassium-induced muscle hyperexcitability and favored electrolyte accumulation in dystrophic myotonic muscles.
Confirming the antimyotonic effect of acute parenteral taurine, chronic treatment induced significant improvement of myotonia and a decreased sensitivity to the arterial potassium load as well as an enhancement of electrolyte movements across the membrane of the studied muscles.
http://www.vitacost.com/science/MedStudies/Taurine.html

  
 Gale Encyclopedia of Medicine: Metabolic alkalosis
"Fluid, Electrolyte, and Acid-Base Disorders." In Family Medicine Principles and Practices.
Metabolic alkalosis, as a disturbance of the body's acid/base balance, can be a mild condition, brought on by vomiting, the use of steroids or diuretic drugs, or the overuse of antacids or laxatives.
"Fluid and Electrolyte Disorders." In Current Medical Diagnosis and Treatment 1998.
http://www.findarticles.com/cf_dls/g2601/0008/2601000895/p1/article.jhtml

  
 PORPHYRINS
There may also be a history of skin photosensitivity.
This is typically characterised by abdominal pain (colicky pain + vomiting and constipation), neurological disturbance ( ranging from Peripheral neuritis to severe paralysis) and often psychiatric disturbance.
The acute attacks are commonly precipitated by therapeutic drugs including alcohol, analgesics, steroids, diuretics, antibiotics, anti hypertensives, hypnotics, tranquillisers, sedatives, muscle relaxants, anaesthetics(See BNF or Contact clinical chemistry for a detailed list).
http://members.aol.com/Richstott/Porph.htm

  
 ABC of heart failure - Clinical features and complications
Antiarrhythmic drugs that may be cardiodepressant (negative inotropism) and proarrhythmic
Sustained polymorphic ventricular tachycardia and torsades de pointes are more likely to occur in the presence of precipitating or aggravating factors, including electrolyte disturbance (for example, hypokalaemia or hyperkalaemia, hypomagnesaemia), prolonged QT interval, digoxin toxicity, drugs causing electrical instability (for example, antiarrhythmic drugs, antidepressants), and continued or recurrent myocardial ischaemia.
http://www.studentbmj.com/back_issues/0300/education/58.html

  
 OxyGuard Heavy Duty pH Probes
Can be used on pressurized systems - reference electrolyte container can be pressurized to 0.5 bar above process pressure.
The cleaning process takes only one or two seconds, and can often take place without disturbing the measurement value.
They utilize the tried-and-tested principle of feeding a small, continuous supply of liquid electrolyte to the reference electrode part of the system.
http://www.oxyguard.dk/products/ph_redox/probes/heavy_duty_probes/heavy_duty_probes.html

  
 New York Statewide Resource Center for Geriatric Education
Patients with dementia are much more likely to develop delirium.
cognitive loss (memory, orientation, language) or perceptual disturbance not explained by a previous dementia
disturbed consciousness, (reduced clarity of awareness of the environment,) with decreased ability to focus, sustain or shift attention
http://www.upstate.edu/geriatric_education/delerium.html

  
 Dehydration - Art History Online Reference and Guide
Extreme cases of dehydration can result in unconsciousness and death.
Correction of a dehydrated state is performed by rehydration, and the addition of necessary electrolytes.
other causes of obligate water loss or electrolyte abnormalities
http://www.arthistoryclub.com/art_history/Dehydration

  
 Further Studies on the Treatment of Congenital Adrenal Hyperplasia with Cortisone: IV. Effect of Cortisone and Compound ...
The studies in the three infants lead us to conclude that the
electrolyte disturbance in patients with the salt-losing form
Effect of Cortisone and Compound B in Infants With Disturbed Electrolyte Metabolism, by John F. Crigler Jr, MD, Samuel H. Silverman, MD, and Lawson Wilkins, MD, Pediatrics, 1952;10:397-413 -- Grumbach 102 (1): 215 -- Pediatrics
http://pediatrics.aappublications.org/cgi/content/full/102/1/S1/215

  
 An interesting electrolyte problem -- 76 (897): 439 -- Postgraduate Medical Journal
Q2: What is the most likely explanation for the electrolyte disturbance?
An interesting electrolyte problem -- 76 (897): 439 -- Postgraduate Medical Journal
This case describes a complex and potentially fatal electrolyte and acid-base disorder, resulting from available and commonly
http://www.postgradmedj.com/cgi/content/full/76/897/439g

  
 Electrolyte and acid-base disturbances in the management of leukemia -- O'Regan et al. 49 (3): 345 -- Blood
This review emphasizes the need for routine measurement of serum
electrolytes during all phases of the leukemic process.
Electrolyte disturbances in leukemia can be the result of the disease
http://www.bloodjournal.org/cgi/content/abstract/49/3/345

  
 Howard Shapiro, MD: Clinical Nephrology, Expert Witness Testimony
His clinical nephrology experience includes problems in hypertension and electrolyte disturbances.
It encompasses consultative evaluation, intensive care management, immunosuppressive care, and treatment of the entire spectrum of acute and chronic renal diseases.
He has worked in both the dialysis and renal transplantation fields for over thirty years.
http://www.howardshapiromd.com

  
 JPEN: Journal of Parenteral and Enteral Nutrition: Drug-induced electrolyte disorders in patients receiving parenteral ...
Once the electrolyte imbalances occur, the extent of the disturbance is likely influenced by other drugs and the clinical condition of the patient.
For example, in one case, the losses of potassium caused by one drug may be augmented by another medication with a similar propensity to induce hypokalemia, either by the same mechanism of action or by another.
The clinical significance of drug-induced metabolic disorders in patients is variable and can be influenced greatly by a number of predisposing factors that include comorbid disease(s), end-organ function, genetic deficiencies affecting key biotransformation steps, impairments in excretion, concomitant drug therapy, aging, nutritional status, and others.
http://www.findarticles.com/p/articles/mi_qa3762/is_200005/ai_n8882005

  
 1.3 Hyponatraemia
It is the most common electrolyte disturbance in hospitalised patients and is often misunderstood and mismanaged.
A disorder of [Na ] is a disturbance of this balance and may involve an abnormal content of either ECF water or sodium (or both).
For example patients presenting with diabetic ketoacidosis are often hyperkalaemic but a significant total body deficit of potassium is present.
http://www.qldanaesthesia.com/ElectBook/Elect1_3.htm

  
 Cognitive Disorders and Delirium:
The clinical presentation of cognitive disorders and delirium are associated with a high level of distress in patients, family members, and healthcare personnel.
The presence of an underlying cause such as a general medical condition (e.g., hypoxia or electrolyte disturbance), medication, a combination of etiologies, or indeterminate etiology.
Other associated noncore clinical criteria features include sleep-wake cycle disturbance, delusions, emotional lability, and disturbance of psychomotor activity.
http://www.acor.org/cnet/62772.html

  
 Acute Colonic Pseudo-obstruction Complicated by Cecal Perforation in a
The majority of patients with ACP have an acute medical process at the time symptoms begin.
The treatment of ACP focuses on basic, supportive medical care and correction of the underlying illness if possible.
Many factors have been associated with this syndrome which include electrolyte imbalance, systemic infection, drugs, and occasionally, neurologic disease.
http://www.sma.org/smj1997/octsmj97/9text.htm

  
 LearnPRN
This program aims to develop understanding of the assessment, recognition and management of patients with fluid and electrolyte disturbance.
http://www.learnprn.com/programs_c31.htm

  
 Acute yellow oleander (Thevetia peruviana) poisoning: cardiac arrhythmias, electrolyte disturbances, and serum cardiac ...
To describe the cardiac arrhythmias, electrolyte disturbances, and serum cardiac glycoside levels seen in patients presenting
Electrolyte and serum cardiac glycoside concentrations were measured in 88 of these patients (blood samples could not be taken
Figure 1 Serum concentrations of cardiac glycosides, potassium, and magnesium in patients admitted to Anuradhapura General Hospital who were then either transferred to Colombo or discharged without specific treatment.
http://www.heartjnl.com/cgi/content/full/83/3/301

  
 [No title]
Today the drug is mostly used as a laxative and is a component of many choleretic drugs (a choleretic increases the flow of bile into the intestines and is recommended in cases of liver and biliary disorders that often cause constipation).
Like all other anthracene-glycoside laxatives, rhubarb root should not be used continuously over a prolonged period as this disturbs the water and electrolyte balance of the body.
Dreessen M, Eyssen H, and Lemli J. The metabolism of sennosides A and B by the intestinal microflora: in vitro and in vivo studies on rat and mouse.
http://www.floressencetea.com/TurkishrhuINFO.html

  
 THE MERCK MANUAL OF GERIATRICS, Ch. 57, Disorders of Water and Electrolyte Balance
Imbalances are most likely to occur when acute illness, hospitalization, use of medications, or extremes of weather upset homeostasis.
These systems compensate for losses through the skin, respiratory tract, and gastrointestinal (GI) tract.
With age, all of these functions change, making the elderly more prone to problems with water and electrolyte balance.
http://www.merck.com/pubs/mm_geriatrics/sec8/ch57.htm

  
 ELNA Cerafine capacitors
When a general purpose capacitor experiences a sound pressure or external mechanical vibration, the energy of such an external disturbance acts on the interface between the oxide film and the electrolyte, causing electric noise to be generated which results in a noisy signal and degraded sound quality of the capacitor.
The addition of ceramics of a heterogeneous material with high hardness to the separator electrolyte, however, increases the physical internal loss and absorbs mechanical vibration energy.
Since the separator is impregnated with an electrolyte, there is a contribution of the separator to the resistance between the anode and cathode in addition to the resistance of the electrolyte.
http://www.elna-america.com/Cerafine.htm

  
 Herbs for Health
With chronic use or abuse: Disturbance of electrolyte balance, especially potassium deficiency, albuminuria and hematuria.
Pigment implantation into the intestinal mucosa ( pseudomelanosis coli) is harmless and usually reverses on discontinuation of the drug.
In addition, stimulation of active chloride secretion increases water and electrolyte content of the contents of the intestine.
http://www.herbalgram.org/ogdenpress/ExpandedCommissionE/he087.asp

  
 The Physician and Sportsmedicine: July 1998 ECG Quiz Answer
A QTc at or above 0.48 seconds in females or 0.47 seconds in males, in the absence of drugs, electrolyte disturbance, or other conditions that might independently lengthen the QT interval, is probably diagnostic of LQTS (1).
http://www.physsportsmed.com/issues/1998/07jul/quiz2.htm

  
 Eating disorders
Check for electrolyte disturbance for risk of hypokalemia particularly when young person is purging.
Often there is a high level of secrecy surrounding the problem creating problems with developing a therapeutic alliance.
CBT may be useful to address cognitive distortions
http://www.headroom.net.au/kitchen/eating_gp_txt.html

  
 THE MERCK MANUAL, Sec. 2, Ch. 12, Water, Electrolyte, Mineral, And Acid-Base Metabolism
The presence of hypoparathyroidism is often suggested by the clinical manifestations of the underlying condition (eg, cataracts, basal ganglia calcification, and chronic candidiasis in idiopathic hypoparathyroidism).
Trousseau's sign also occurs in alkalosis, hypomagnesemia, hypokalemia, and hyperkalemia and in about 6% of people with no identifiable electrolyte disturbance.
The clinical manifestations of hypocalcemia are due to disturbance in cellular membrane potential.
http://www.merck.com/pubs/mmanual/section2/chapter12/12d.htm

  
 5
This could be done by varying the flow rate of electrolyte through the heat exchanger, but the time constant of this form of control would be too large.
In practice, they reduce to gap control, electrolyte flow control, and process parameter control, above all temperature.
A distinction of control in the case of ECM is the fact that the controlled plant, that is, the proper machine, its power unit, electrolyte supply and purification facilities, and so on, is exposed to a wide range of disturbance factors.
http://www.unl.edu/nmrc/ecm5/5.htm

  
 Pemoline (PIM 940)
Amphetamine withdrawal syndrome: Abrupt discontinuance following chronic use is characterised by apathy, depression, lethargy, anxiety and sleep disturbances.
Myalgias, abdominal pain, voracious appetite and a profound depression with suicidal tendencies may complicate the immediate post-withdrawal period and peak in 2 to 3 days.
Creatinine, urea, and electrolyte measurement are important to establish whether renal impairment or hyperkalaemia is present.
http://www.intox.org/databank/documents/pharm/pemoline/pim940.htm

  
 SX-005D-VIB / SX-015D-VIB LINEAR TILT SENSORS electrolytic inclinometers and angle detection inclination systems
# Viscosity of the electrolyte may be modified to filter out vibration.
Constructed with a specially developed internal cavity helps restrict the movement and foaming of electrolyte during severe vibrations.
Specifications and color of sensors may change without notice.
http://www.aositilt.com/Sxvib.htm

  
 Hypochloremia - Art History Online Reference and Guide
Hypochloremia is an electrolyte disturbance in which there is an abnormally depleted level of the chloride ion in the blood.
http://www.arthistoryclub.com/art_history/Hypochloremia

  
 Transcutaneous Pacing
· If time permits and the patient is hemodynamically stable, correct metabolic and electrolyte abnormalities, or reverse unwanted drug effects which may be the cause of the bradycardic rhythm.
For awake patients, explain the procedure, advise them of the benefit of pacing, potential risks of further deterioration if pacing is not attempted, and of the potential complications (listed below).
http://apps.med.buffalo.edu/procedures/transcutaneous.asp?p=20

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