fluid and electrolytes Flashcards
essential electrolytes
necessary for
nerve conduction
muscle contraction
bone growth/repair
maintenance of cardiovascular system
how are electrolyte levels maintained
kidney (main area for excretion)
GI system (waste excretion)
CMP
tell you all your electrolytes
3 most essential electrolytes
calcium
sodium
potassium
supplemental iv solutions
sodium (sodium chloride (normal saline)
potassium (dont PUSH iv potassium) (usually added)
magnesium (usually just added) can be given IVPB
calcium (po supplement or IVP (given slow can hurt tissue)
hypertonic solution
solution higher than 0.9%
intracellular fluid leaves the cell
shrinks cell
hypotonic solution
solution lower than 0.9%
fluid flow into cells
cells swell
crystalloid solutions
used to replace fluids and urine output
*NS, LR
colloid solutions
pull fluid from cells into the blood (protein based)
*albumin
blood products
used if blood loss is large (trauma)
hypervolemia
tx
LABs
vitals
Diuresis: diuretics
Dialysis: filters blood and pulls off excess fluid
stopping IV solutions and allow body to correct it
LABS: decreased b their diluted
VItals: ↑BP and HR can be up or down
hypovolemia
TX
LABS
Vitals
TX:
oral intake of fluids
replace what is lost (blood or fluid)
crystalloid solutions
LABs: increased bc their concentrated
Vitals: ↑HR ↓BP