Fluid And Electrolyte Flashcards
Urine specific gravity
1.003-1.030
CATIONS
Na+
K+
Ca+
Mg+
ANIONS
Cl-
HCO3-
SO4-
HPO4-
Passive transport processes
No cellular energy required
Diffusion
Osmosis
Filtration
Diffusion
Movement of solutes from an area of higher concentration into lower concentration
Drop of ink in glass of water
Osmosis
Movement of water from lower concentration to higher concentration (to dilute and make equal)
Hypertonic solution
Solution of high concentration of osmotic pressure
Pull fluid from the cell causing shrinkage
(Fluid is from low concentration to high
Used to correct fluid overload
Hyper-shrink
Hypotonic solution
Lower concentration of osmotic pressure
Fluid will move into the cells, causing them to enlarge or swell up
Used to correct dehydration or fluid volume deficit
Hypo-swell (big “O”)
Isotonic solution
A solution of same osmotic pressure
Expands body’s fluid without causing fluid shift
ISO - SAME
Filtration
The transfer of water and dissolved substances from high pressure to an area of low pressure
Force behind filtration is called hydrostatic pressure
Pumping heart is responsible for amount of force of the hydrostatic pressure
Active transport process
Cellular energy is required to move substances
Possible with aid of ATP (adenosine triphosphate) found in the mitochondria of the cell
Force that moves molecules into the cells without regard for their positive or negative charge and against concentration factors that would prevent entry
Moves F&E from low concentration to highly concentration
Substances actively transported through the cell membrane through sodium, potassium , calcium, magnesium
Potassium
3.5- 5.1 mEq/L
Sodium
135-145 mEq/L
Calcium
- 6-10 mg/dL
4. 5 mEq/L
Magnesium
- 6-2.6 mg/dL
1. 5-2.4 mEq/L
Chloride
96-105 mEQ/L
Phosphorus
2.7- 4.5 mg/dL
4 mEq/L
PCO2
35-45 mm Hg
HCO3-
22-27 mEq/L
PO2
80-100 mm Hg
Bicarbonate
22-24 mEq/L
Bicarbonate buffer system
Production regulates by the kidneys
Carbonic acid
Assisted by lungs by regulating carbonic acid production
Combing carbon dioxide and water
Respiratory acidosis
Caused by any condition that impairs normal ventilation
As pH falls, PCO2 level increases
Shallow respirations result bc of retained carbon dioxide
Respiratory alkalosis
Cause by hyperventilation
Loss of carbon dioxide result in lowered carbon acid level in blood
pH rises bc of decrease in carbon acid which is blown off with each exhalation
Metabolic acidosis
Result of retaining too many acids or losing too many bases
Diarrhea
Effect of metabolic acidosis is hyperventilation
Metabolic alkalosis
Result when a significant amount of acid is lost from body or increase in the bicarbonate level occurs
Causes are vomiting gastric content and gastric suction
Depresses the central nervous system; respiratory rate is decreased thus decreased amount of carbon dioxide engaged and raising level of plasma CO2
glomerular filtration rate (GFR)
Leads to what output?
125 ml/min or 180L/ day
Leads to output of 1-2 L of urine per day