ch 14 blueprint Flashcards

1
Q

what area of the kidney is involved in reabsorption?

A

tubules

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2
Q

if reabsorption in the tubules becomes less than normal, would you expect urine to become more concentrated or less concentrated?

A

more concentrated

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3
Q

in what way would fluid overload affect weight?

A

gain

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4
Q

in what way would fluid overload affect breathing patterns/lung sounds? and why

A

crackles, dyspnea, pulmonary edema

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5
Q

in what way would fluid overload affect blood pressure?

A

increased

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6
Q

what fluids primarily carry nutrients and waste throughout the body?

A

extracellular

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7
Q

when electrolytes break down into smaller particles and are dissolved they are called?

A

ions

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8
Q

what is the type of transport that is responsible for oxygen moving from alveoli to pulmonary capillaries and vessels to capillaries?

A

diffusion

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9
Q

definition of diffusion

A

random movement of particles in all directions, natural tendency is for a substance to move from an area of higher concentration to an area of lower concentration

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10
Q

examples of electrolytes

A

sodium, chloride, calcium, phosphate, magnesium, bicarbonate, potassium

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11
Q

what process is utilized to help our bodies move water/fluids among the compartments in our body?

A

osmosis

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12
Q

why would we want to watch urine output very closely when administering IV potassium

A

could develop hyperkalemia if urine output is low

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13
Q

can IV potassium be administered IV push

A

no

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14
Q

what is the most abundant intracellular cation

A

potassium

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15
Q

what is considered a significant symptom of hyperkalemia

A

irregular heartbeat, dysrhythmias

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16
Q

what electrolyte imbalance is kidney disease associated with?

A

potassium

17
Q

what is hyperchloremia often associated with?

A

metabolic acidosis

18
Q

what lab test may we want to check if someone has very high chloride levels?

A

serum electrolytes

19
Q

what is an early indicator of dehydration in an older adult?

A

constipation

20
Q

the sympathetic nervous system, hormones and the thirst center influence tow organ systems that are the main monitors for fluid balance. what are those systems?

A

circulatory and renal

21
Q

the chief extracellular cation is

A

sodium

22
Q

what part of the kidney performs reabsorption?

A

tubules

23
Q

in which process do the kidneys excrete waste

A

filtration

24
Q

why do we become thirsty

A

too much sodium. deficient fluid volume, dehydration, hypovolemia

25
Q

uf a patient has a pH of 7.18 and their paCO2 is normal, what kind of acid base imbalance is present?

A

metabolic acidosis

26
Q

what is a potentially serious complication of hypokalemia

A

cardiac complications - fatal heart rhythms.

27
Q

what are some interventions we could expect for someone who is hypervolemic?

A

reduce iv fluid rate

28
Q

what are some things we should not do or educate the patient not to do

A

lower sodium

29
Q

if a patient has metabolic acidosis why would deep breathing exercises be an effective intervention?

A

retain paC02