Fluid and Electrolytes Flashcards

1
Q

what are the most replaced electrolytes

A

Sodium, potassium, magnesium and calcium

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2
Q

water is what percent of the body

A

55% of body substance

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3
Q

can you alter the intracellular fluids

A

no

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4
Q

when we give fluid what does it go to

A

plasma volume

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5
Q

what is similar to plasma volume

A

cardiac output

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6
Q

movement of fluid through cell wall from hydrostatic pressure-

A

filtration

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7
Q

free movement of particles or solutes across a semipermeable membrane-

A

diffusion

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8
Q

when does diffusion occur

A

electrolyte movement

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9
Q

movement of water through a semipermeable membrane, the membrane must not allow particles to move

A

osmosis

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10
Q

movement of fluid through a cell or blood vessel membrane

A

filtration

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11
Q

“force”

A

Hydrostatic Pressure

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12
Q

Amount of water in a fluid is ______ related to the VISCOSITY of that fluid.

A

INVERSELY

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13
Q

what is of clinical significance for filtration

A

B/P

Edema

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14
Q

example of hydrostatic filtering forces

A

blood pressure

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15
Q

what does blood pressure do

A

It moves whole blood from the heart to capillaries where filtration can occur to exchange water, nutrients, and waste products between the blood and the tissues.

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16
Q

develops with changes in normal hydrostatic pressure differences.

A

edema

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17
Q

free movement of the solute across a permeable membrane

from higher to lower concentration

A

diffusion

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18
Q

equal exchange of particles

A

equilibrium

19
Q

clinical significance related to diffusion

A

Transport of electrolytes
Glucose and insulin
Na pumps

20
Q

what is important in the transport of most electrolytes and particles through cell membranes.

21
Q

movement of water (solvent) only through a selectively permeable membrane

22
Q

How well a particle type dissolves in water

A

solubility

23
Q

Process where solutes and solution move together in response to fluid pressure to create equilibrium
osmotic pressure

A

filtration

24
Q

isotonic soultion

A

same solution
300 mOsm/L
0.9% sodium chloride and lactated ringers

25
hypotonic
< 270 mOsm/L | 1/2 NS or 0.45% saline or D5W
26
hypertonic
>350 mOsm/L Fluids with medications D5NS or D5LR or TPN If > 500 mEq/L should be in a central line
27
plasma volume
3.5-5.5 L
28
osmolarity levels
270-300 mOsm
29
sodium levels
135-145 mEq/L
30
potassium levels
3.5-5 mEq/L
31
chloride levels
96-109 mEq/L
32
calcium levels
9-10.5 mEq/L
33
magnesium levels
1.3-2.1 mEq/L
34
protein levels
7-8 g/L
35
an example of how osmosis helps maintain homeostasis.
thirst mechanism
36
what is the feeling of thirst caused by
the activation of cells in the brain that respond to changes in ECG osmolarity.
37
Minimum amount of urine needed to excrete toxic waste products
400-600 mL
38
aldosterone
mineralocorticoid
39
ADH
antidiuretic hormone
40
Natriuretic peptides
atrial cells- they go to the nephrons and oppose aldosterone
41
Fluid intake is less than what is needed to meet the body’s fluid needs, resulting in a fluid volume deficit.
dehydration
42
causes of dehydration
``` Hemorrhage Vomiting Diarrhea Burns NPO unconscious ```
43
how many mL are needed for the kidneys to work
30 mls an hour
44
describe isotonic dehydration
Water loss or water and some electrolyte Fluid from ECF space, plasma and interstitial ICF is normal HYPOVOLEMIC