electrolyte

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Related to electrolyte disturbances: Electrolyte disorders

electrolyte

 [e-lek´tro-līt]
a chemical substance that, when dissolved in water or melted, dissociates into electrically charged particles (ions) and thus is capable of conducting an electric current. The principal positively charged ions in the body fluids (cations) are sodium (Na+), potassium (K+), calcium (Ca2+), and magnesium (Mg2+). The most important negatively charged ions (anions) are chloride (Cl), bicarbonate (HCO3), and phosphate (PO43−). These electrolytes are involved in metabolic activities and are essential to the normal function of all cells. Concentration gradients of sodium and potassium across the cell membrane produce the membrane potential and provide the means by which electrochemical impulses are transmitted in nerve and muscle fibers.ƒ

The concentration of the various electrolytes in body fluids is maintained within a narrow range. However, the optimal concentrations differ in the extracellular fluid and intracellular fluid. For example, the concentration of sodium in extracellular fluid (serum) is about 15 times higher than in the intracellular fluid. Conversely, the concentration of potassium is about 30 times higher within the cell than in the serum or extracellular fluid.
electrolyte imbalance. This exists when the serum concentration of an electrolyte is either too high or too low. (See accompanying table.) The terms for excessive and deficient blood levels of electrolytes are derived from the Greek prefixes hyper- (over) and hypo- (under), the English or Latin name of the electrolyte, and the Latin suffix -emia. For example, an excess of sodium (Latin, natrium) cations in the serum is called hypernatremia, and a deficit of these ions is called hyponatremia

Stability of the electrolyte balance depends on adequate intake of water and the electrolytes, and on homeostatic mechanisms within the body that regulate the absorption, distribution, and excretion of water and its dissolved particles. Many conditions can interfere with these processes and result in an imbalance. For example, renal disease, in which the kidney nephron is unable to function normally, causes a retention of water, sodium, chloride, bicarbonate, and calcium as the glomerular filtration rate falls. Even when the kidney structures are intact, electrolyte imbalances can result from an inadequate supply of blood to the nephrons or from imbalances of regulatory hormones such as aldosterone and antidiuretic hormone.

The effects of an electrolyte imbalance are not isolated to a particular organ or system. In general, however, imbalances in calcium concentrations affect the bones, kidney, and gastrointestinal tract. Calcium also influences the permeability of cell membranes and thereby regulates neuromuscular activity. Sodium affects the osmolality of blood and therefore influences blood volume and pressure and the retention or loss of interstitial fluid. Potassium affects muscular activities, notably those of the heart, intestines, and respiratory tract, and also affects neural stimulation of the skeletal muscles.

Assessment and nursing interventions related to electrolyte imbalance are shown in the accompanying table.
Electrolyte composition of body fluid.

e·lec·tro·lyte

(ē-lek'trō-līt),
1. Any compound that, in solution or in molten form, conducts electricity and is decomposed (electrolyzed) by it.
2. An ionizable substance in solution.
[electro- + G. lytos, soluble]

electrolyte

(ĭ-lĕk′trə-līt′)
n.
1. A chemical compound that ionizes when dissolved or molten to produce an electrically conductive medium.
2. Physiology Any of various ions, such as sodium, potassium, or chloride, required by cells to regulate the electric charge and flow of water molecules across the cell membrane.

e·lec·tro·lyte

(ĕ-lek'trō-līt)
Any compound that, in solution, conducts electricity and is decomposed (electrolyzed) by it; an ionizable substance in solution.

electrolyte

Any substance which, when dissolved in water, separates into pairs of particles (ions) of opposite charge. For example, sodium chloride (common salt) when dissolved in water forms positive ions of sodium and negative ions of chloride. The electrolytes include salts, acids, alkalis and metal oxides.

Electrolyte

An ion, or weakly charged element, that conducts reactions and signals in the body. Examples of electrolytes are sodium and potassium ions.

e·lec·tro·lyte

(ĕ-lek'trō-līt)
Any compound that, in solution, conducts electricity and is decomposed (electrolyzed) by it.
References in periodicals archive ?
However, the incidence and risk factors of refeeding syndrome-like electrolyte disturbance in premature infants remain unclear.
The most common electrolyte disturbance in our study was hypokalaemia (55%) followed by hyponatraemia (32.5%).
The Theophylline was immediately stopped and the patient closely monitored at the Medical High Dependency Unit for further fits, arrhythmias or electrolyte disturbances. Other causes of seizures had been investigated and excluded.
" Electrolyte disturbances, nausea, vomiting and heart irregularities can also occur from excessive consumption.
"Older adults with dementia and other neuro-degenerative diseases are vulnerable to metabolic and electrolyte disturbances, such as low sodium, calcium and magnesium," Dr.
Previously reported adverse side effects of NaP preparations include transient electrolyte disturbances, nausea, vomiting, abdominal distension, dizziness, syncope and renal failure.
Renal manifestations described in falciparum malaria have mainly been in the form of electrolyte disturbances, acute tubular necrosis, interstitial nephritis, acute glomerulonephritis and acute renal failure.
Jenny's case resulted in severe, intractable vomiting, profound dehydration to the point of shock, kidney failure as a result of the shock and severe metabolic and electrolyte disturbances. She is a sweet kid, and she will survive, but it will take weeks of IV nutrition and eventual tube feedings to correct her malnutrition and relieve the obstruction.
The presence of ECG findings including presence of STSEs of <1mm in the inferior derivations, STSEs in the derivations other than the inferior derivations, left ventricular hypertrophy (LVH), left bundle branch block (LBBB) and presence of conditions causing ECG changes (electrolyte disturbances, myocarditis, pericarditis etc.) were accepted as exclusion criteria.
This results in significant fluid shifts with 1 to 4 litres fluid loss, and potential hyperphosphataemia, hypocalcaemia, and other electrolyte disturbances (3).
Too-rapid refeeding is a major problem in patients with anorexia, because their bodies can become overwhelmed with the sudden intake of nutrients, leading to severe fluid retention, electrolyte disturbances, arrhythmias, seizures, coma, and death.
This risk may be increased if Strattera is used concomitantly with other drugs that produce QT prolongation, drugs that can cause electrolyte disturbances, and those that inhibit cytochrome P450 2D6.

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