ELECTROLYTE BALANCE Flashcards
DEFINITION OF FLUID AND ELECTROLYTE BALANCE
Process of regulating the extra cellular fluid volume, body fluid osmolality, and plasma concentrations of electrolytes
OSMOLALITY
Number of particles in a solution
RISK FACTORS FOR ELECTROLYTE IMBALANCE
Very young- have more water content
Very old- do not eat or drink enough
INDIVIDUAL RISK FACTORS
Renal failure- retain fluid
Burn victims- lose fluid and electrolytes
Excessive exercise- lose sodium and fluid
CHF- retain fluid
Surgery- retain fluid
Drinking too much water
SODIUM (Na)
Extracellular
Important to nerve transmission
Vital for skeletal muscle and cardiac contraction
Important for volume of ECF
Normal 135-145
HYPONATREMIA
Low sodium draws water into the cells and causes them to swell
CAUSES OF HYPONATREMIA
Fluid dilution or loss of sodium (Na) Renal disease Fluid retention CHF Liver disease Watery diarrhea Sweat, diuretics
TREATMENT OF HYPONATREMIA
Restrict fluid
Give diuretics
May give Na if due to large loss such as watery diarrhea
POTASSIUM (K+)
Some control over intracellular osmolality and volume . Regulates protein synthesis, glucose, use and storage.
Normal 3.5-5.0
HYPERNATREMIA
High sodium draws water out of the cells and causes them to shrink
CAUSES OF HYPERNATREMIA
Dehydration
SIGNS OF HYPERNATREMIA
Fluid volume deficit Tachycardia Weak pulse Postural hypotension High sodium level and elevated hematocrit
TREATMENT OF HYPERNATREMIA
Replace fluids cautiously with 0.45 and 0.9 hypotonic fluids to isotonic
If fluid overload give lasting
Ensure adequate water intake
HYPOKALEMIA
May be caused by the use of laxatives or diuretics
Low K+ and effects nerve transmission, interferes with contractility of the smooth, skeletal, and cardiac muscle
SIGNS OF HYPOKALEMIA
May develop confusion, respiratory depression, lieu’s, and constipation. Keep close eye on surgery patients