FLUID AND ELECTROLYTES Flashcards
ELECTROLYTES
Is a substance that on dissolving in a solution, ionizes : that is some of its molecules split or disscoiate into electrally charged atoms or ions
What is needed for homeostatis to exist
Intravascular
fluid inside the cells
Extracellular fluid
Thrid spacing
Common locations of thrid spacing
Edema
excessive accumulation of fluid in the interstital space
What causes edema
Localized edema
occurs as result of inury, trauma, surgery, burns, local inflammatory response
Generalized edema
What does body fluid do
Whos at greater risk for dehyrdation
Subtances found in body fluids
Permeable membrane
allows substances to pass through without restriction
Selectively permeable membrane
allows some solutes to pass through without restirction but prevents other solutes from passing freely
Diffusion
where a solute travels from an area with a high concentration to an area of lower concentration
Osmotic pressure
Filtration
is the movement of solutes and solvents by hydrostatic prssre
the movement is from an area of higher pressure to an area of lower pressure
Fluid volume deficet means
Treatment goal for fluid volume deficit
isotonic dehydations
water and electrolytes are lost equally
hypovolemia
decreased blood volume and inadequate tissue perfusion
hypertonic dehydration
water loss is greater than electrolyte loss
fluid moves from the intracellular campartments to plasma
and interstital spaces
Hypotonic dehydration
Isotonic dehydration causes
Hypertonic dehydration causes
Hypotonic dehydration causes
Interventions
Fluid volume deficit
Cardiovascular assessment findings
- Thready, increased pulse
- Decreased blood pressure and orthostatic hypotension
- Flat neck and hand veins
- Decreased CVP
- Dysrhythmias
Fluid volume deficit
Respiratory findings
- Increased rate and depth of respirations
- dyspna
Fluid volume deficit
CNS findings
Fluid volume deficit
Renal
Fluid volume deficit
Integumentary system findings
Fluid volume deficit
GI assessment findings
Fluid volume deficit
Lab findings
Fluid volume excess
hypervolemia
fluid volume excess
Treatment goals
fluid volume excess
Cardiovascular findings
bounding increased pulse rate
elevated BP
distended neck and hand veins
Dysrthymias
fluid volume excess
Respiratory assessment findings
fluid volume excess
Neuromusclar assessment findings
Altered LOC
headache
visual disturbances
skeletal muscle weakness
paresthesias
fluid volume excess
Renal
increased urine output
Decreased urine out put if the kidnseys are the cause
fluid volume excess
Integumentary
fluid volume excess
GI assessment findings
increased gi motility
diarrhea
increased body weight
liver enlargement
ascitites
fluid volume excess
Lab findings
Hyponatermia is
sodium level
Sodium imbalace is frequent associated with
Hyponatremia causes
Hyponatermia interventions
Hyponatermia assessment findings
Cardiovascular
Hyponatermia assessment findings
Respiratory
Hyponatermia assessment findings
neuromusclar
Hyponatermia assessment findings
CNS
Hyponatermia assessment findings
GI
Hyponatermia assessment findings
Renal
Hyponatermia assessment findings
Integumentary
Hyponatermia assessment findings
Lab findings
Hypernatermia
Hypernatermia causes
Hypernatermia interventions
Hypernatermia Assessment Findings
Cardiovascular
Hypernatermia Assessment Findings
Respiratory
Hypernatermia Assessment Findings
Neuromusclar
Hypernatermia Assessment Findings
CNS
Hypernatermia Assessment Findings
GI
Hypernatermia Assessment Findings
Renal
Hypernatermia Assessment Findings
Integumentary
Hypernatermia Assessment Findings
Lab findings
Normal sodium level
Sodium containing foods
What should you monitor a hypernatermic patient closely for
Hypokalemia
Causes of hypokalemia
Hypokalemia interventions
Hypokalemia assessment findings
Cardiovascular
- Thready wea irregular pulse
- Weak periopheral p
Hypokalemia assessment findings
Respiratory
Hypokalemia assessment findings
Neruomusclar
Hypokalemia assessment findings
GI
Hypokalemia assessment findings
lab findings
Hyperkalemia
Causes of Hyperkalemia
Hypercalcemia interventions
1.