Exam 4: Cahpter 40 Electroytes Flashcards
Functions of Water In The Body: Transporting nutrients to
cells and wastes from cells
Functions of Water In The Body: Transporting hormones
enzymes, blood platelets, and red and white blood cells
Functions of Water In The Body: Facilitating Cellular
metabolism and proper cellular chemical functioning
Functions of Water In The Body: Acting as
a solvent for electrolytes and nonelectrolytes
Functions of Water In The Body: Helping maintain
normal body temperature
Functions of Water In The Body: Facilitating
digestion and promoting elimination
Functions of Water In The Body: Acting as a tissue
lubricant
What is ICF?
70% of Fluid located within cells
What is ECF
30% of fluid outside of cells. This includes intravascular and interstitial fluidsc
Variations in Fluid Content: Healthy person
Total body water is 50-60% of body weight
Variations in Fluid Content: An infant has
considerably more body fluid and ECF than an adult; more prone to fluid volume deficits
Variations in Fluid Content: Gender and amount of fat cells affect
body water; women and obese people have less body water
Fluid Sources: Intake how much fluid daily?
Around 2600 mL
What does fluid intake include
Ingested water, food, metabolic oxidation
What is fluid outake broken down into?
Sensible and Insensible
Fluid Sources: What does sensible mean?
Something that can be measured
Fluid Sources: What does insensible mean?
Something that cannot be measured: Evaporation of sweat from skin
Normal sodium range?
135-145
What does Sodium control?
Controls and regulates volume of body fluids
Sodium roles?
Role in muscle contraction and transmission of nerv impulses
Sodium regulation?
Regulation of acid-base balance as sodium bicarbonate
What is Potassium?
Chief regulator of cellular enzyme activity and water content
Potassium range?
3.5-5.0
Potassium controls
intracellular osmolality
Potassium regulator o f
cellular enzyme activity
Potassium role in
transmission of electrical impulses in nerve, skeletal, heart, intestinal, and lung tissue
What is Calcium?
Nervce impulse, blood clotting, muscle contraction, B12 absorption
Calcium range
4.5-5.1
Calcium role?
ROle in blood coagulation and in transmission of nerve impulses
Calcium helps
regulate muscle contraction and relaxation
Calcium major component of
bones and teeth
CAlcium comes form
Dairy
What is Hypovolemia?
Fluid volume deficit, loss of water and solutes
Signs of Hypovolemia?
Tenting, Poor skin turgor. Seen in older adults
What is Hypervolemia?
Fluid volume excess, excessive retention of water and sodium
Signs of Hypervolemia?
Any time of kidney adn heart disorder
Nursing Assessment: Identify
Identify patient at risk for imbalances: Acute and Chronic Illness, Fluid Loss, Burns, Surgery
Parameters of Assessment: Nursing
History and Physical Assessment
Parameters of Assessment: Fluid
Intake and Output
Parameters of Assessment: Daily
Weights
Parameters of Assessment: Laboratory
Studies. This includes BUN and Creatinin
Increased BUN means
impaired renal function, diabetic ketoacidosis, and burns
Increased Creatinine means
impaired renal function, heart failure, shock, dehyration
Nursing Diagnoses Related To Imbalances
Excess Fluid Volume
Deficient Fluid Volume
Risk for Deficient Fluid Volume
Expected Outcomes: Maintain
approximate fluid intake and output balance (2500 mL intake and output over 3 days)
Expected Outcomes: Maintain SpG to
normal range of 1.010 - 1.025
Expected Outcomes:Practice
self-care behaviors to promote balance
Implementing:
Dietary Modifications Modifcations of fluid intake Medication Administration IV Therapy Blood and Blood Products Replacement TPN