Fluid balance, electrolytes, and fluid replacement

Question 1

Fluid balance

Answer 1

assessment of the volume of water lost from the body and volume of water gained

Question 2

Fluid Balance: Water gained

Answer 2

• Fluid and food in diet
• IV infusions

Question 3

Fluid Balance: Water loss

Answer 3

• Urine
• evaporation from the skin
• sweat
• respiration
• feces

Question 4

Assessment and recording of fluid balance is done by measuring?

Answer 4

what goes in (oral fluid, IV fluids) and what comes out (urine, blood loss, vomiting, diarrhea)

Question 5

What is insensible loss and why is it important midwives are mindful of it?

Answer 5

Fluid loss that cannot be measured: sweating, evaporation from high temperature, respiration from exercise like labor

Question 6

Conditions that contribute to fluid imbalance in maternity care:

Answer 6

• hypovolemic shock
• pre-e
• septic shock
• anaphylactic shock
• hyperglycemia

Question 7

ABCDE for assessment of fluid and electrolyte status: A

Answer 7

Assess airway and note general impression. is she thirsty, dry mouth, cracked lips?

Question 8

A woman with fluid overload may have

Answer 8

wheezing or excessive secretions

Question 9

ABCDE for assessment of fluid and electrolyte status: B

Answer 9

assess respiratory rate and measure oxygen saturation
crackles, wheezing, and or pink frothy sputum and deteriorating oxygen saturation may indicate pulmonary edema

Question 10

ABCDE for assessment of fluid and electrolyte status: C

Answer 10

Circulation: measure the VS: Pulse, BP, and temp
with fluid depletion, signs of compensatory mechanisms may become evident: HR increases, and as fluid depletion continues, BP will drop although this will be a late sign in a pg woman.

Question 11

ABCDE for assessment of fluid and electrolyte status: D

Answer 11

manifestations of hypovolemic shock and electrolyte imbalance will affect neurological function. dizziness and anxiety may occur. reflexes may be affected. rising urea can affect level of consciousness

Question 12

ABCDE for assessment of fluid and electrolyte status: E

Answer 12

Exposure: edema, skin turgor, acute weight changes, and blood loss

Question 13

Why is IV fluid administration used for fluid replacement

Answer 13

will improve the volume of fluid within the intravascular compartment (Blood vessels) and this in turn has an impact on fluid in the extravascular compartment (Interstitial space and cells)

Question 14

Why is it important to insert an iv as soon as problems arise or waiting for medical assistance?

Answer 14

peripheral shutdown will increase as I’ll health progresses, making it increasingly difficult to gain IV access