Chapter 30 Flashcards

1
Q

What percent of the human body is water

A

60%

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2
Q

Total body water is made of what three components

A

Intracellular fluid
Interstitial fluid
Plasma

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3
Q

Do children have higher or lower water content

A

Higher

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4
Q

What protein in the blood plays a major role in moving water to balance concentration

A

Albumin

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5
Q

Colloid hypertonic does what

A

Pulls water out of the cell

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6
Q

Colloid isotonic does what

A

Equal

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7
Q

Colloid hypotonic does what

A

Pulls fluid into the cell

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8
Q

What electrolyte plays major role in water balance

A

Sodium

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9
Q

What is water loss

A

Sweating

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10
Q

What is hypotonic loss

A

Kidney injury

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11
Q

What is isotonic loss

A

Vomiting
Diarrhea

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12
Q

What type of fluid contains proteins

A

Colloid

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13
Q

What type of fluid does not contain protein

A

Crystalloid

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14
Q

Crystalloids primarily treat

A

Dehydration

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15
Q

What can crystalloids cause

A

Fluid overload

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16
Q

What are colloids primarily used to treat

A

Plasma volume

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17
Q

What two colloids can we give when someone does not accept blood products

A

Dextran
Hetastarch

18
Q

Can colloids improve oxygen carrying capacity

19
Q

What organ produces albumin

20
Q

What does albumin do

A

Keeps fluid in the blood vessels

21
Q

What can be given to increase oxygen carrying capacity

22
Q

What blood product is given if more than 50% slow bleed is lost or more than 20% acute bleed is lost

A

Cryoprecipitate and plasma protein

23
Q

What blood product increases clotting

A

Fresh frozen plasma

24
Q

What blood product is given if less than 25% of blood is lost and oxygen carrying capacity is needed

A

Packed RBC

25
What blood product is given when more than 25% of blood is lost and oxygen carrying is needed
Whole blood
26
What is the most abundant electrolyte inside the cells
Potassium
27
What is the normal serum potassium range
3.5-5
28
What organ is most impacted by potassium imbalance
Heart
29
What are early signs of hypokalemia
Lethargy Muscle weakness Hypotension
30
What are late signs of hypokalemia
Cardiac dysrhythmias
31
What happens if someone is taking digoxin and gets hypokalemia
Digoxin toxicity: dysrhythmias
32
What treats hyperkalemia
Sodium bicarbonate Sodium polystyrene Hemodialysis
33
What is the most abundant electrolyte outside the cells
Sodium
34
What is the serum level of sodium
135-145
35
Sodium primarily effects which organ
Brain
36
What treats hyponatremia
Sodium intake Normal saline Lactated ringers
37
What is the only solution compatible with packed rbc
Normal saline
38
Brain stem damage can occur when what is given too fast
Hypertonic solution
39
Is hematocrit levels are high it means what
Dehydration
40
Potassium cannot be given faster than what rate
20mmol/hr