Fluid and Electrolytes Flashcards
Normal Na+ range
135-145
Normal potassium range
3.5-5.0/5
Water gain sources
food
drink
metabolism
water loss sources
urine
feces
skin- insensible water loss
Lungs- insensible water loss
Osmosis
fluid moves from low to high concentration of solutes
Filtration
fluid moves from high to low pressure
Hydrostatic pressure
force
Colloid oncotic pressure
reabsorption (albumin)
Osmolarity
Concentration of solutes in a specific VOLUME of fluid
Not most accurate- fluid volume changes when temp changes
Osmolality
concentration of solutes in a specific MASS of solvent
Tonicity
measure of the osmotic pressure gradient between two solutions
comparision of concentration
Osmosis
Fluid moves from high to low concentration
1L = ? kg
1 kg
Hydrostatic pressure (what)
pressure pushes out fluid from capillaries into tissues
NEED to be functioning for hudrostatic pressure
strong heart
blood volume
BP
Colloid Pressure/ Colloidal Osmotic Pressure
Reabsorption of fluid via osmosis from the tissue into the cappilaries d/t large proteins (albumin) in the vessel.
Isotonis fluid
Same # of solutes in solution as in plasma
Exands blood volume
Examples of Isotonic fluids
LR
0.9% NS
D5W (ONLY AT FIRST)
Hypotinic fluid
less # of solutes in solution compares to plasma
Examples of Hypotonic fluids
0.45% NaCl
0.33% NaCl
Hypertonic fluids
Greater # of solutes in fluid compared to plasma
Examples of Hypertonic fluids
D5NS
D5LR
D10W
Oxygenation
Oxygen supply vs. demand. Person can be well oxygenated, but have low perfusion
Perfusion NEEDS
Pump
Blood volume
Patent vessels
Hemoglobin
Protein (contains iron) on RBC that is responsible for carrying O2
Essential functions needed for oxygenation and perfusion
Adequate oxygenation (Lungs, O2 supply, airway)
Adequate hemoglobin (Iron, RBC)
Adequate perfusion
MAP formula
MAP= [SBP + (2 x DBP)] / 3
(Systolic + Diastolic + Diastolic) all divided by 3
Low map… think…
< 65 think… which profusion proponent is broken
1L = __ kg
1 kg
% of body made of water
70%
Electrolytes absorbed
GI
Electrolyted extreted
Kidney function and filtration
Dehydration
loss of water EXCEEDS intake of water
Hypotonic dehydration
lose electrolytes, not as much fluids, caused by diuretics
Hypertonic dehydration
loss of water, ICF dehydration, caused by fever, increased respirations, diabetes insipidus
Isotonic dehydration
loss balances, ECF dehydration, caused by vomiting, diarrhea, sweating, burns, KD, hyperglycemia, hypoaldosteronism
IV Fluids Isotonic
concentration matches blood plasma, no change to cell
GOAL of Isotonic IV fluids
increase volume of fluid in bloodstream
Isotonic IV Fluid examples
NS 0.9%
LR
D5W
IV Fluids Hypotonic solution
less solutes that blood plasma (dilute), more fluid than # os solutes
GOAL of Hypotonic IV fluids
correct cellular dehydration
Examples of Hypotonis IV fluids
0.45% NaCl
½ NS
0.33% NaCl
IV Fluids Hypertonic solutions
more solutes than blood plasma (concentrated)
GOAL of Hypertonic IV fluids
correct cellular volume overload
EDEMA
Examples Hypertonic IV fluids
3% NS
D5NS
Osmolarity
concentration of solutes in a specific volume of fluid
Osmolality
concentration of solutes in a specific mass of solvent
Tonicity
a measure of the osmotic pressure gradient between two solutions
Albumin: created in the ____
LIVER
Areas of the body that fluids go that can be dangerous
Alveoli
Brain (increased ICP)
peritoneal
Blisters from Edema
ABG Ranges pH
7.35 - 7.45
ABG Ranges PaCO2 (R E V E R S E)
35-45
REVERSE
ABG Ranges HCO3
22-26
How do the lungs help maintain pH balance
Respirations control CO2 levels in blood
If lungs struggle to remove CO2 in blood, CO2 builds up creating carbonic acid which decreases the pH (acidosis)