Ch 41 Flashcards

0
Q

Osmolarity means what

A

The concentration of a solution in terms of osmoles of solutes per liter of solution

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1
Q

Osmolality means what

A

The concentration of a solution in terms of osmoles of solute per kilogram of solvent

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2
Q

Isotonic contraction means what

A

Sodium and water are lost but there’s no change in osmolality

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3
Q

Hypertonic contraction means what

A

Loss of water exceeds loss of sodium. Increase in osmolality

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4
Q

Hypotonic solution means what

A

Loss of sodium exceeds loss of water. Osmolality decreases

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5
Q

What are 4 types of acid base disturbances?

A

Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
Metabolic alkalosis

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6
Q

What is respiratory acidosis caused by

A

Retention of co2

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7
Q

How can you correct respiratory acidosis

A

Inject sodium bicarbonate

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8
Q

Respiratory alkalosis is caused by what

A

Hyperventilation- increases pH

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9
Q

How can you correct respiratory alkalosis

A

Rebreathe own air

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10
Q

Metabolic acidosis is caused by what 5 things

A
Chronic renal failure
diarrhea
over production of lactic acid 
Methanol poisoning 
Aspirin
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11
Q

How do you correct metabolic acidosis

A

Treat underlying cause

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12
Q

Metabolic alkalosis is caused by what

A

Vomiting

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13
Q

How do you correct metabolic alkalosis

A

A solution containing both sodium chloride and potassium chloride which promoted renal excretion of bicarbonate

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14
Q

What are two electrolyte disturbances

A

Hypokalemia

Hyperkalemia

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15
Q

Hypokalemia is what

A

Deficiency of potassium in blood cause by treatments with thiazide and loop diuretics

16
Q

What is hyperkalemia

A

Excessive elevation of serum potassium

17
Q

What are 3 things that have adverse effects due to hypokalemia

A

Skeletal muscle
Smooth muscle
Heart

18
Q

Hyperkalemia is caused by what two things

A

Tissue trauma

Untreated Addison’s disease

19
Q

Hyperkalemia effects the heart in what way

A

Disrupts electrical impulses