\documentclass[10pt,a4paper]{article} % Packages \usepackage{fancyhdr} % For header and footer \usepackage{multicol} % Allows multicols in tables \usepackage{tabularx} % Intelligent column widths \usepackage{tabulary} % Used in header and footer \usepackage{hhline} % Border under tables \usepackage{graphicx} % For images \usepackage{xcolor} % For hex colours %\usepackage[utf8x]{inputenc} % For unicode character support \usepackage[T1]{fontenc} % Without this we get weird character replacements \usepackage{colortbl} % For coloured tables \usepackage{setspace} % For line height \usepackage{lastpage} % Needed for total page number \usepackage{seqsplit} % Splits long words. %\usepackage{opensans} % Can't make this work so far. Shame. Would be lovely. \usepackage[normalem]{ulem} % For underlining links % Most of the following are not required for the majority % of cheat sheets but are needed for some symbol support. \usepackage{amsmath} % Symbols \usepackage{MnSymbol} % Symbols \usepackage{wasysym} % Symbols %\usepackage[english,german,french,spanish,italian]{babel} % Languages % Document Info \author{felixcharlie (felixcharlie)} \pdfinfo{ /Title (electrolyte-homeostasis-part-3.pdf) /Creator (Cheatography) /Author (felixcharlie (felixcharlie)) /Subject (Electrolyte Homeostasis Part 3 Cheat Sheet) } % Lengths and widths \addtolength{\textwidth}{6cm} \addtolength{\textheight}{-1cm} \addtolength{\hoffset}{-3cm} \addtolength{\voffset}{-2cm} \setlength{\tabcolsep}{0.2cm} % Space between columns \setlength{\headsep}{-12pt} % Reduce space between header and content \setlength{\headheight}{85pt} % If less, LaTeX automatically increases it \renewcommand{\footrulewidth}{0pt} % Remove footer line \renewcommand{\headrulewidth}{0pt} % Remove header line \renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit % This two commands together give roughly % the right line height in the tables \renewcommand{\arraystretch}{1.3} \onehalfspacing % Commands \newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour \newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols \newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns \newcommand{\tn}{\tabularnewline} % Required as custom column type in use % Font and Colours \definecolor{HeadBackground}{HTML}{333333} \definecolor{FootBackground}{HTML}{666666} \definecolor{TextColor}{HTML}{333333} \definecolor{DarkBackground}{HTML}{0016A3} \definecolor{LightBackground}{HTML}{F7F7FC} \renewcommand{\familydefault}{\sfdefault} \color{TextColor} % Header and Footer \pagestyle{fancy} \fancyhead{} % Set header to blank \fancyfoot{} % Set footer to blank \fancyhead[L]{ \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{C} \SetRowColor{DarkBackground} \vspace{-7pt} {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}} } \end{tabulary} \columnbreak \begin{tabulary}{11cm}{L} \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Electrolyte Homeostasis Part 3 Cheat Sheet}}}} \\ \normalsize{by \textcolor{DarkBackground}{felixcharlie (felixcharlie)} via \textcolor{DarkBackground}{\uline{cheatography.com/142439/cs/31030/}}} \end{tabulary} \end{multicols}} \fancyfoot[L]{ \footnotesize \noindent \begin{multicols}{3} \begin{tabulary}{5.8cm}{LL} \SetRowColor{FootBackground} \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}} \\ \vspace{-2pt}felixcharlie (felixcharlie) \\ \uline{cheatography.com/felixcharlie} \\ \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}} \\ \vspace{-2pt}Published 5th March, 2022.\\ Updated 5th March, 2022.\\ Page {\thepage} of \pageref{LastPage}. \end{tabulary} \vfill \columnbreak \begin{tabulary}{5.8cm}{L} \SetRowColor{FootBackground} \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}} \\ \SetRowColor{white} \vspace{-5pt} %\includegraphics[width=48px,height=48px]{dave.jpeg} Measure your website readability!\\ www.readability-score.com \end{tabulary} \end{multicols}} \begin{document} \raggedright \raggedcolumns % Set font size to small. Switch to any value % from this page to resize cheat sheet text: % www.emerson.emory.edu/services/latex/latex_169.html \footnotesize % Small font. \begin{multicols*}{2} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Electrolytes}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Electrolytes are chemicals dissolved in body fluids and are commonly measured in mEq and include: salts, acids, bases, and some proteins} \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{A natriuretic peptide is a peptide which includes natriuresis - the secretion of sodium by the kidneys} \tn % Row Count 6 (+ 3) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Atrial natriuretic peptide (ANP) or atrial natriuretic factor (ANF) is a natriuretic peptide hormone secreted from the cardiac atria - the main function of ANP is causing a reduction in expanded extracellular fluid (ECF) volume by increasing renal sodium excretion} \tn % Row Count 12 (+ 6) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Electrolytes are regulated by:}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Normal organ \& gland function} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Intake, output} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Acid-base balance} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Hormones} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Cell integrity} \tn % Row Count 5 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{3.2 cm} x{4.8 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Electrolytes}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Sodium}} \{\{rowspan=3\}\} & Major extracellular electrolyte \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} & Controls \& regulates water balance \tn % Row Count 4 (+ 2) % Row 2 \SetRowColor{LightBackground} & Where sodium goes, water follows \tn % Row Count 6 (+ 2) % Row 3 \SetRowColor{white} {\bf{Potassium}} \{\{rowspan=3\}\} & Major intracellular electrolyte \tn % Row Count 8 (+ 2) % Row 4 \SetRowColor{LightBackground} & Helps maintain intracellular water balance \tn % Row Count 10 (+ 2) % Row 5 \SetRowColor{white} & Transmit nerve impulses to muscles and contract skeletal and smooth muscles (e.g., cardiac) \tn % Row Count 14 (+ 4) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{3.04 cm} x{4.96 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Sodium Imbalance - Hyponatremia}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{Water excess or loss of sodium \{\{colspan=3\}\}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{Causes}} \{\{colspan=2\}\} \{\{ac\}\}} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} {\emph{Dilution}} \{\{rowspan=4\}\} & Polydipsia \tn % Row Count 4 (+ 2) % Row 3 \SetRowColor{white} & Freshwater drowning \tn % Row Count 5 (+ 1) % Row 4 \SetRowColor{LightBackground} & ADH \tn % Row Count 6 (+ 1) % Row 5 \SetRowColor{white} & CHF (Excess Na+ loss) \tn % Row Count 7 (+ 1) % Row 6 \SetRowColor{LightBackground} {\emph{Excretion}} \{\{rowspan=4\}\} & Sweating \tn % Row Count 9 (+ 2) % Row 7 \SetRowColor{white} & Diuretics \tn % Row Count 10 (+ 1) % Row 8 \SetRowColor{LightBackground} & GI wound drainage \tn % Row Count 11 (+ 1) % Row 9 \SetRowColor{white} & Renal disease (Excess Na+ loss) \tn % Row Count 13 (+ 2) % Row 10 \SetRowColor{LightBackground} {\emph{Intake}} \{\{rowspan=2\}\} & Low salt diet \tn % Row Count 15 (+ 2) % Row 11 \SetRowColor{white} & Severe vomiting/diarrhea (inadequate Na+ intake to balance loss) \tn % Row Count 18 (+ 3) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\bf{Signs \& Symptoms}} \{\{colspan=2\}\} \{\{ac\}\}} \tn % Row Count 19 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{S}}}} tupor/coma \{\{colspan=2\}\}} \tn % Row Count 20 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{A}}}} norexia, nausea \& vomiting \{\{colspan=2\}\}} \tn % Row Count 21 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{L}}}} ethargy \{\{colspan=2\}\}} \tn % Row Count 22 (+ 1) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{T}}}} endon reflexes decreased \{\{colspan=2\}\}} \tn % Row Count 23 (+ 1) % Row 17 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{L}}}} imp muscles (weakness) \{\{colspan=2\}\}} \tn % Row Count 24 (+ 1) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{O}}}} rthostatic hypertension \{\{colspan=2\}\}} \tn % Row Count 25 (+ 1) % Row 19 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{S}}}} eizures/headaches \{\{colspan=2\}\}} \tn % Row Count 26 (+ 1) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{{\bf{{\emph{S}}}} tomach cramping \{\{colspan=2\}\}} \tn % Row Count 27 (+ 1) % Row 21 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{What can you do?}} \{\{colspan=2\}\} \{\{ac\}\}} \tn % Row Count 28 (+ 1) % Row 22 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{3\% normal saline \{\{colspan=2\}\}} \tn % Row Count 29 (+ 1) % Row 23 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{If caused by fluid excess, will need fluid restriction \{\{colspan=2\}\}} \tn % Row Count 31 (+ 2) \end{tabularx} \par\addvspace{1.3em} \vfill \columnbreak \begin{tabularx}{8.4cm}{x{3.04 cm} x{4.96 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Sodium Imbalance - Hyponatremia (cont)}} \tn % Row 24 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{Usually can't be fixed by adding sodium to the diet \{\{colspan=2\}\}} \tn % Row Count 2 (+ 2) % Row 25 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{{\bf{Don't forget! Sodium must be replaced slowly!}} \{\{colspan=2\}\}} \tn % Row Count 4 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Potassium Imbalance - Hypokalemia}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{Causes}} \{\{ac\}\}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Vomiting} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{NG suction} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Diarrhea} \tn % Row Count 4 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Medications (diuretics, laxatives, insulin)} \tn % Row Count 5 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Signs \& symptoms}} \{\{ac\}\}} \tn % Row Count 6 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Dysrhythmias} \tn % Row Count 7 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Weakness} \tn % Row Count 8 (+ 1) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Low BP} \tn % Row Count 9 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Weak pulse} \tn % Row Count 10 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Muscle weakness and paralysis} \tn % Row Count 11 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Diuresis} \tn % Row Count 12 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{What can you do?}} \{\{ac\}\}} \tn % Row Count 13 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Cardiac monitor} \tn % Row Count 14 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Foods high in potassium} \tn % Row Count 15 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Potassium IV (only if good urine output)} \tn % Row Count 16 (+ 1) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Keep patient safe from falls} \tn % Row Count 17 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Basic Metabolic Panel/Urea \&Electrolytes example}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/felixcharlie_1646442716_Basic metabolic panel example.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{2.16 cm} x{5.84 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Organs \& glands associated with F\&E balance}} \tn % Row 0 \SetRowColor{LightBackground} {\emph{Lungs \& Liver}} & Water \& Sodium balance \tn % Row Count 2 (+ 2) % Row 1 \SetRowColor{white} {\emph{Heart}} & Excretes sodium via excretion of atrial natriuretic peptide \tn % Row Count 5 (+ 3) % Row 2 \SetRowColor{LightBackground} {\emph{Sweat glands}} & Excrete Na+, K+, Cl-, water \tn % Row Count 7 (+ 2) % Row 3 \SetRowColor{white} {\emph{GI Tract}} & Absorbs fluids \& electrolytes \tn % Row Count 8 (+ 1) % Row 4 \SetRowColor{LightBackground} {\emph{Kidneys}} & Water, electrolytes; K+, Na+, Urea, and H+ ions \tn % Row Count 10 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{3.68 cm} x{4.32 cm} } \SetRowColor{DarkBackground} \mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Sodium Imbalance - Hypernatremia}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{Hypernatremia is too much sodium \{\{colspan=2\}\}} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} {\bf{Causes}} \{\{rowspan=3\}\} & Excess Na+ intake \tn % Row Count 3 (+ 2) % Row 2 \SetRowColor{LightBackground} & Inadequate water intake \tn % Row Count 5 (+ 2) % Row 3 \SetRowColor{white} & Excess water loss \tn % Row Count 6 (+ 1) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{2}{x{8.4cm}}{Hypernatremia relsults in fluid shift from ICF to ECF (water follows sodium) \{\{colspan=2\}\}} \tn % Row Count 8 (+ 2) % Row 5 \SetRowColor{white} {\bf{Signs \& symptoms}} \{\{rowspan=5\}\} & {\bf{F}} = Fever (low grade, flushed skin) \tn % Row Count 10 (+ 2) % Row 6 \SetRowColor{LightBackground} & {\bf{R}} - Restless (irritable) \tn % Row Count 12 (+ 2) % Row 7 \SetRowColor{white} & {\bf{I}} - Increased fluid retention and increased BP \tn % Row Count 15 (+ 3) % Row 8 \SetRowColor{LightBackground} & {\bf{E}} - Edema (peripheral \& pitting) \tn % Row Count 17 (+ 2) % Row 9 \SetRowColor{white} & {\bf{D}} - Decreased urine output, dry mouth \tn % Row Count 19 (+ 2) % Row 10 \SetRowColor{LightBackground} {\bf{What can you do?}} & Treat the underlying cause \tn % Row Count 21 (+ 2) % Row 11 \SetRowColor{white} & Diuretics \tn % Row Count 22 (+ 1) % Row 12 \SetRowColor{LightBackground} & Sodium restriction \tn % Row Count 23 (+ 1) % Row 13 \SetRowColor{white} & Seizure precautions \tn % Row Count 24 (+ 1) % Row 14 \SetRowColor{LightBackground} & If severe - dialysis \tn % Row Count 25 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{2}{x{8.4cm}}{Sodium must be reduced slowly to avoid swelling in the brain, causing seizures \{\{colspan=2\}\}} \tn % Row Count 27 (+ 2) \hhline{>{\arrayrulecolor{DarkBackground}}--} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Potassium Imbalance - Hyperkalemia}} \tn % Row 0 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Very dangerous} \tn % Row Count 1 (+ 1) % Row 1 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{Causes}} \{\{ac\}\}} \tn % Row Count 2 (+ 1) % Row 2 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Kidney failure (most common)} \tn % Row Count 3 (+ 1) % Row 3 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Use of salt or potassium supplements, recieving old blood (not very common anymore)} \tn % Row Count 5 (+ 2) % Row 4 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Cell destruction, Acidosis, hypoxia} \tn % Row Count 6 (+ 1) % Row 5 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Exercise, catabolic state} \tn % Row Count 7 (+ 1) % Row 6 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Use of potassium-sparing diuretics} \tn % Row Count 8 (+ 1) % Row 7 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Can get false high results if specimen not handled properly} \tn % Row Count 10 (+ 2) % Row 8 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{Symptoms}} \{\{ac\}\}} \tn % Row Count 11 (+ 1) % Row 9 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{{\emph{M}}}} uscle weakness} \tn % Row Count 12 (+ 1) % Row 10 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{{\emph{U}}}} rine, oliguria, anuria} \tn % Row Count 13 (+ 1) % Row 11 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{{\emph{R}}}} espiratory distress} \tn % Row Count 14 (+ 1) % Row 12 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{{\emph{D}}}} ecreased cardiac contractability} \tn % Row Count 15 (+ 1) % Row 13 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{{\emph{E}}}} CG changes} \tn % Row Count 16 (+ 1) % Row 14 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{{\bf{{\emph{R}}}} eflexes - hyperflexia, or areflexia} \tn % Row Count 17 (+ 1) % Row 15 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{{\bf{What can you do?}} \{\{ac\}\}} \tn % Row Count 18 (+ 1) % Row 16 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Cardiac monitor} \tn % Row Count 19 (+ 1) % Row 17 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Lasix if kidneys are functioning} \tn % Row Count 20 (+ 1) % Row 18 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Stop potassium in IV fluids} \tn % Row Count 21 (+ 1) % Row 19 \SetRowColor{white} \mymulticolumn{1}{x{8.4cm}}{Have patient avoid foods high in potassium} \tn % Row Count 22 (+ 1) % Row 20 \SetRowColor{LightBackground} \mymulticolumn{1}{x{8.4cm}}{Dialysis if severe} \tn % Row Count 23 (+ 1) \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{x{1.444 cm} x{3.344 cm} x{2.812 cm} } \SetRowColor{DarkBackground} \mymulticolumn{3}{x{8.4cm}}{\bf\textcolor{white}{Recap}} \tn % Row 0 \SetRowColor{LightBackground} {\bf{Hyponatremia}} & Not enough salt/increased \seqsplit{secretion/dilution} & Confusion, headaches, ado cramps \tn % Row Count 3 (+ 3) % Row 1 \SetRowColor{white} {\bf{Hypernatremia}} & Eating too much Na+/water loss/kidney failure & Fluid retention, edema \tn % Row Count 6 (+ 3) % Row 2 \SetRowColor{LightBackground} {\bf{Hypokalaemia}} & \seqsplit{Vomiting/diarrhea/diuretics} & Dysrhythmias, weakness \tn % Row Count 9 (+ 3) % Row 3 \SetRowColor{white} {\bf{Hyperkalaemia}} & Kidney \seqsplit{failure/ingesting} too much K+/acidosis & Stops cardiac function/ECG changes \tn % Row Count 12 (+ 3) \hhline{>{\arrayrulecolor{DarkBackground}}---} \end{tabularx} \par\addvspace{1.3em} \begin{tabularx}{8.4cm}{X} \SetRowColor{DarkBackground} \mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Magic 4 of electrolyte lab values}} \tn \SetRowColor{LightBackground} \mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/felixcharlie_1646442539_Electrolytes lab values.png}}} \tn \hhline{>{\arrayrulecolor{DarkBackground}}-} \end{tabularx} \par\addvspace{1.3em} % That's all folks \end{multicols*} \end{document}