Chapter 42: Fluid, Electrolyte and Acid-Base Balance Flashcards

1
Q

Risk for fluid volume imbalance

A

-Loss of blood and fluids during a major surgical procedure
-Infectious process
-Burns
-Poor oral intake
-Vomiting and diarrhea
-Renal failure
-Heart failure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Impaired Fluid Intake:
-Isotonic fluid deficit
-Hypertonic fluid deficit

A

-Dry mucous membranes
-Weight loss of greater than 2.2 lb (1 kg) in 24 hours
-Thirst
-Orthostatic hypotension
-Prolonged capillary refill
-History of vomiting
-Output greater than input

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Fluid volume excess:
-Isotonic fluid excess
-Hypotonic fluid excess

A

-Dependent edema
-Weight gain of greater than 2.2 lb (1 kg) in 24 hours
-Jugular venous distension
-Crackles in lungs
-Dyspnea
-Intake greater than output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Expected outcome for Risk for fluid volume imbalance

A

The patient will achieve fluid balance as evidenced by daily weight stability and urine output greater than 30 mL/hour.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

these states can decrease cardio output for the patient

A

Impaired Fluid Intake and fluid volume excess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Expected outcome for Impaired Fluid Intake

A

The patient will achieve fluid balance as evidenced by daily weight stability, urine output greater than 30 mL/hour, and systolic blood pressure greater than 90 mm Hg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Expected outcome for Fluid volume excess

A

The patient will achieve fluid balance as evidenced by resolution of edema, daily weight stability, resolved dyspnea, and output equal to intake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly