Exam 4: Cahpter 40 Electroytes Flashcards

1
Q

Functions of Water In The Body: Transporting nutrients to

A

cells and wastes from cells

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2
Q

Functions of Water In The Body: Transporting hormones

A

enzymes, blood platelets, and red and white blood cells

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3
Q

Functions of Water In The Body: Facilitating Cellular

A

metabolism and proper cellular chemical functioning

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4
Q

Functions of Water In The Body: Acting as

A

a solvent for electrolytes and nonelectrolytes

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5
Q

Functions of Water In The Body: Helping maintain

A

normal body temperature

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6
Q

Functions of Water In The Body: Facilitating

A

digestion and promoting elimination

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7
Q

Functions of Water In The Body: Acting as a tissue

A

lubricant

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8
Q

What is ICF?

A

70% of Fluid located within cells

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9
Q

What is ECF

A

30% of fluid outside of cells. This includes intravascular and interstitial fluidsc

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10
Q

Variations in Fluid Content: Healthy person

A

Total body water is 50-60% of body weight

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11
Q

Variations in Fluid Content: An infant has

A

considerably more body fluid and ECF than an adult; more prone to fluid volume deficits

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12
Q

Variations in Fluid Content: Gender and amount of fat cells affect

A

body water; women and obese people have less body water

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13
Q

Fluid Sources: Intake how much fluid daily?

A

Around 2600 mL

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14
Q

What does fluid intake include

A

Ingested water, food, metabolic oxidation

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15
Q

What is fluid outake broken down into?

A

Sensible and Insensible

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16
Q

Fluid Sources: What does sensible mean?

A

Something that can be measured

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17
Q

Fluid Sources: What does insensible mean?

A

Something that cannot be measured: Evaporation of sweat from skin

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18
Q

Normal sodium range?

A

135-145

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19
Q

What does Sodium control?

A

Controls and regulates volume of body fluids

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20
Q

Sodium roles?

A

Role in muscle contraction and transmission of nerv impulses

21
Q

Sodium regulation?

A

Regulation of acid-base balance as sodium bicarbonate

22
Q

What is Potassium?

A

Chief regulator of cellular enzyme activity and water content

23
Q

Potassium range?

A

3.5-5.0

24
Q

Potassium controls

A

intracellular osmolality

25
Q

Potassium regulator o f

A

cellular enzyme activity

26
Q

Potassium role in

A

transmission of electrical impulses in nerve, skeletal, heart, intestinal, and lung tissue

27
Q

What is Calcium?

A

Nervce impulse, blood clotting, muscle contraction, B12 absorption

28
Q

Calcium range

A

4.5-5.1

29
Q

Calcium role?

A

ROle in blood coagulation and in transmission of nerve impulses

30
Q

Calcium helps

A

regulate muscle contraction and relaxation

31
Q

Calcium major component of

A

bones and teeth

32
Q

CAlcium comes form

A

Dairy

33
Q

What is Hypovolemia?

A

Fluid volume deficit, loss of water and solutes

34
Q

Signs of Hypovolemia?

A

Tenting, Poor skin turgor. Seen in older adults

35
Q

What is Hypervolemia?

A

Fluid volume excess, excessive retention of water and sodium

36
Q

Signs of Hypervolemia?

A

Any time of kidney adn heart disorder

37
Q

Nursing Assessment: Identify

A

Identify patient at risk for imbalances: Acute and Chronic Illness, Fluid Loss, Burns, Surgery

38
Q

Parameters of Assessment: Nursing

A

History and Physical Assessment

39
Q

Parameters of Assessment: Fluid

A

Intake and Output

40
Q

Parameters of Assessment: Daily

A

Weights

41
Q

Parameters of Assessment: Laboratory

A

Studies. This includes BUN and Creatinin

42
Q

Increased BUN means

A

impaired renal function, diabetic ketoacidosis, and burns

43
Q

Increased Creatinine means

A

impaired renal function, heart failure, shock, dehyration

44
Q

Nursing Diagnoses Related To Imbalances

A

Excess Fluid Volume
Deficient Fluid Volume
Risk for Deficient Fluid Volume

45
Q

Expected Outcomes: Maintain

A

approximate fluid intake and output balance (2500 mL intake and output over 3 days)

46
Q

Expected Outcomes: Maintain SpG to

A

normal range of 1.010 - 1.025

47
Q

Expected Outcomes:Practice

A

self-care behaviors to promote balance

48
Q

Implementing:

A
Dietary Modifications
Modifcations of fluid intake
Medication Administration
IV Therapy
Blood and Blood Products Replacement
TPN