F/I

Question 1

FLUID VOLUME DEFICITS CAUSES

Answer 1

 HYPOVOLEMIA ECF LOSS
 VOMITING/ FEVER/ DIARRHEA
 DRUG EXCESS (DIURETICS)
 GI SUCTION LOW INTAKE
 NEUROLOGICAL DYSFUNCTION
 ENDOCRINE DYSFUNCTION
 THIRD SPACING

Question 2

F/I CLINICAL MANIFESTATIONS

Answer 2

 WEIGHT LOSS
 THIRST / FEVER
 CHANGE IN LOC SEIZURES
 TACHYCARDIA
 DECREASED UA OUTPUT
 DECREASED CVP
 DECREASED CARDIAC OUTPUT

Question 3

F/I MANIFESTATIONS

Answer 3

 POOR SKIN TURGOR
 DRY MUCUS MEMBRANES
 INCREASED HCT
 N / V
 HYPOTENSION
 SYNCOPE

Question 4

F/I INTERVENTIONS

Answer 4

 CLINICAL ASSESSMENT
 ID UNDERLYING CAUSE
    TREAT UNDERLYING CAUSE
 RESTORE FLUID AND 
ELECTROLYTES

Question 5

FLUID VOLUME EXCESS CAUSES

Answer 5

HYPERVOLEMIA ECF EXPAND
 CHF / PULMONARY EDEMA
 ENDOCRINE DYSFUNCTION
 RENAL DYSFUNCTION
 EXCESS IV FLUIDS
 EXCESS CORTICOSTEROIDS
 CHRONIC LIVER DISEASE

Question 6

FLUID VOLUME EXCESS CLINICAL MANIFESTATIONS

Answer 6

 WT GAIN --- CHANGE IN LOC
 DYSPNEA / COUGH/ SOB 
   TACHYPNEA TACHYCARDIA
 RALES / CRACKLES
 INCREASED CVP
 NECK VEIN DISTENTION
 EDEMA (PITTING)

Question 7

FLUID VOLUME EXCESS MANIFESTATIONS

Answer 7

TAUT SKIN / HYPERTENSION
 UA OUTPUT <<< INTAKE
 NEUROLOGICAL FINDINGS
 PULMONARY EDEMA
 BOUNDING PULSE

Question 8

FLUID VOLUME EXCESS INTERVENTIONS

Answer 8

CLINICAL ASSESSMENT
 ID UNDELYING CAUSE
   TREAT UNDERLYING CAUSE
 DIURETICS
 FLUID / NA RESTRICTIONS

Question 9

NURSING ASSESSMENT

Answer 9

VS/ LUNG SOUNDS
 I&O / IV FLUID REGULATION
 NEURO & LAB ASSESSMENT
 CVP & SKIN ASSESSMENT
 DAILY WEIGHTS
 SPECIFIC GRAVITY

Question 10

FLUID SOLUTIONS

Answer 10

 ISOTONIC NO FLUID SHIFT
.9 NS LR
 HYPOTONIC WATER SHIFT INTO CELLS
1/2 NS 2.5% D/W
 HYPERTONIC WATER SHIFT OUT OF CELL
D5 1/2 NS