fluid and electrolytes Flashcards

1
Q

Blood urea nitrogen

A

8-21

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2
Q

Blood urea nitrogen measures

A

by products of protein breakdown in the liver-food sources

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3
Q

Elevated blood urea nitrogen

A

fluid volume deficit or dehydration

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4
Q

Decrease in BUN can be caused by

A

SIADH, liver failure, malnutrion

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5
Q

Serum creatinine

A

0.5-1.2

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6
Q

Serum creatinine measures

A

when muscles and other proteins are broken down

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7
Q

Elevated creatinine levels

A

kidney impairment/ kidney dieases

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8
Q

Decreased creatinine levels

A

decreased muscle mass/muscle wasting

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9
Q

BUN to creatinine ratio

A

10:1 to 20:1

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10
Q

Run rises more rapidly than creatinine so ratio is increased

A

deficient blood voume/low cardia output

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11
Q

Both BUN and creatinine rise at the same rate

A

kidney dysfuntion

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12
Q

Bun drops more rapidly than creatinine so ratio is decreased

A

fluid volume excess

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13
Q

Specific gravity

A

1.005-1.030

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14
Q

Measures dissolved chemicals in urine and reflects kidneys ability to concentrate urine

A

specific gravity

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15
Q

Increased specific gravity=concentrated urine

A

decreased renal perfusion, dehydration, siadh

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16
Q

Decreased specific gravity=dilute urine

A

diuretic use, diabetes insipidus, increased fluid intake

17
Q

Sodium

A

135-145

18
Q

95% located in extracellular fluid

A

sodium

19
Q

Maintains normal skeletal muscle contraction, normal cardiac muscle contraction, and nerve impulses

A

sodium

20
Q

<135

A

Hyponatremia- bring on the salt

21
Q

Common cause of hyponatremia

A

overuse of loop and thiazide diuretics

22
Q

> 145

A

Hypernatremia- hold the salt

23
Q

97-107

A

Chloride

24
Q

Imbalance occurs as a result of other electrolyte imbalance

A

Chloride

25
Q

Hypo chloride

A

loss of volume

26
Q

Hype chloride

A

hypernatremia

27
Q

Treat underlying electrolyte imbalance or acid base problem- 0.45% sodium chloride for fluid repalcement

A

Chloride

28
Q

3.5-5

A

Potassium

29
Q

98% intracellular and controlled by sodium/potassium pumps

A

potassium

30
Q

<3.5

A

Hypokalemia

31
Q

> 5.0

A

Hyperkalemia

32
Q

Calcium

A

9-10.5

33
Q

Phosphorus

A

3-4.5

34
Q

Magnesium

A

1.6-2.6