Fluid & Electrolytes Flashcards

1
Q

Potassium critical values

A

Less than three
Greater than 6.1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Sodium critical values

A

Less than 120
Greater than 160

Natremia is 140–160

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Magnesium critical values

A

Less than 0.5.
Greater than 3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Calcium critical values

A

Less than 6
Greater than 13

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hyperkalemia (calcium)-call 911😷
Side effects

A

Side effects: swollen and slow with moans, groans and stones
B-bone pain
A-arrhythmias(tachycardia, HTN)
C-coma, lethargic, disorientation
K-kidney stones
M-muscle weakness
E-excessive urination

‼️ cardiac arrest if it’s severe‼️

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Causes of hyperkalemia (calcium) causes:

A

Hyperkalemia, can be caused by:
Prolonged immobilization, hyper parathyroidism, bone tumors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Treatment for hyperkalemia:

A

Identify incorrect underlying cause
IV fluid
Diuretics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Intervention for hyperkalemia(calcium):

A

Cardiac
Pain management
Cognition
Input and output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is hypokalemia?(potassium)
Side effects or symptoms

A

Everything is spazzing
S-spasms (carpopedal)
P-perioral paresthesia/twitching
A-anxious and irritable, confused
S-seizures
M-muscle weakness, cramps, tetany
O-over active bowel sounds
D-dysrhythmias(bradycardia)
I-I have low blood pressure
C-chvostek’s sign & trousseau’s sign

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Causes of hypokalemia(calcium)

A

Calcium deficient diet, vitamin D, deficiency, chronic, diarrhea, laxative misuse

Drugs: phenytoin (Dilantin). Corticosteroids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Treatment for hypokalemia(calcium)

A

PO supplement
IV replacement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Chvostek sign

A

When you poke a patient’s cheek, and the cheek twitches

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Trousseaus sign

A

One blood pressure cup causes fingers to spasm(carpal spasm)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hyper magnesium signs and symptoms

A

Everything is quiet…. Too quiet.
Cardiac - bradycardia, hypotension
Neuromuscular - hypo, active reflexes, muscle weakness
Respiratory -depressed, respirations
G.I. - hypoactive bowel sounds

Trousseaus signs : blood pressure cup causes carpal spasm
Chvostek signs: one patient cheek is tapped it causes facial twitching

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Causes of hypermagnesemia (magnesium)

A

Increased magnesium intake, parenteral overload of magnesium, end, stage renal disease

Drugs : magnesium salt(milk of magnesia, magnesium citrate,mylanta)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment for hypermagnesemia (magnesium)

A

Calcium gluconate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Interventions for hypermagnesemia (magnesium)

A

Continuous pulse ox
Fall risk
Cardiac monitoring telemetry

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Hypomagnesemia symptoms

A

Cardiac-tachycardia
Neuromuscular -hyper, active reflexes, abnormal eye-movement(nystagmus), tetany(muscle tents up), convulsions, irritability, muscle cramps
G.I. -diarrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Causes of hypomagnesemia (magnesium)

A

Mount nutrition, chronic, alcoholism, chronic, diarrhea, laxative, misuse, vomiting

Drugs: diuretics, antibiotics, laxatives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Treatment for hypomagnesemia

A

Seizure precautions
Fall risk
Telemetry monitoring
Monitor input an output

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is nutrition?

A

Nutrition is the basic concept of health and is essential for
Normal growth and development
Tissue, maintenance and repair
Cellular metabolism
Organ function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What is the goal of healthy people 2030

A

Tim prove the health and well-being of older adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Examples of nutrition and healthy, eating objectives for healthy people 2030

A

Reduce the proportion of adults who are obese
-Increase the proportion of schools that do not sell less healthy foods and beverages
-Reduce the proportion of adult with high blood pressure
-Increase the proportion of students participating in the school breakfast program
-Increase the proportion of eligible students participating in the US department of agricultural USDA Summer food service program
-Reduce iron deficiency among females and 12 to 49 years
-Increase the proportion of websites that offer a nutrition program as part of an employee health promotion program

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the basal metabolic rate?(bmr)

A

It is the energy needed address to maintain life-sustaining activities (breathing, circulation, heart rate, and temperature) for a specific amount of time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What is resting energy expenditure? (REE)
Is the amount of energy you need to consume over a 24 hour period for your body to maintain all of its internal working activities while at rest
26
How to kilocalories (Kcal) work
-When the kilocalories of the food we eat, meat or energy requirements, or white does not change -When the kilocalories ingested exceed our energy demands, we gain weight -If the kilocalories in Chesterfield to meet our energy requirements, we lose weight
27
What are carbohydrates?
They are the main source of energy in the diet. They are composed of carbon, hydrogen, and oxygen. Each gram of carbohydrate produces 4Kcal/g
28
What are proteins?
Proteins provide a source of energy(4Kcal/g) Proteins are essential for Growth, maintenance, and repair of body tissues Collagen, hormones, enzymes, immune cells, deoxyribonucleic acid(DNA), and ribonucleic acid (RNA) are all made of protein In addition, blood clotting, fluid regulation, and acid base, balance require proteins
29
What are fats?
Fats are the most calorie, dense, nutrient, providing 9kcal/g
30
What percentage of water makes up the total weight of the body
Water makes up 60 to 70% a total body weight When deprived of water, a person usually cannot survive for more than a few days And a healthy individual fluid intake from all sources, equal fluid output through elimination, respiration, and sweating An I’ll person has an increase need for fluid -Fever or gastrointestinal losses Buy contrast he, or she also has a decrease ability to excrete fluid -Cardio pulmonary or renal disease, which often leads to the need for fluid restriction
31
What are vitamins?
Organic substances present in small amounts of food that are essential to normal metabolism
32
What are fat soluble vitamins
Fat, soluble, vitamins, would be vitamin A, D, E, & K— they are stored in the fatty compartments of the body People choir vitamins, primarily through dietary intake, although vitamin D also comes from the sun The body has a high storage capacity for fat soluble vitamins —-as a result, toxicity as possible, when a person takes larger doses of them
33
What are water soluble vitamins
These would be vitamin C and B complex(which is eight vitamins) The body does not store water, soluble, vitamins; thus, we need them provided in our daily food intake Water, soluble, vitamins, absorbed easily from the G.I. tract although they are not stored, toxicity can still occur
34
What does the gallbladder do
It’s stores in concentrates bile
35
What does the stomach to?
It’s stores in turns food HCI, activates enzymes, breaks up food, kills germs, mucus, protect stomach wall, limited absorption
36
What does the liver do?
It breaks down and built up many biological molecules Stores, vitamins, and iron Destroys old blood cells Destroys poisons Produces bile to a digestion
37
What does the pancreas do?
Hormones regulate blood glucose levels Bio carbonate neutralize stomach acid
38
What does the small intestine do?
Completes digestion Mucus protects, gut wall Absorbs, nutrients, most water
39
What does the rectum do
It’s stores and expels feces
40
What is peristalsis?
Peristalsis is a wave like muscular contraction, it moves the food to the base of the esophagus, above the cardiac sphincter.🌊
41
What is chyme?
Food leaves the atrium, or distal stomach, through the pyloric sphincter and enters the duodenum. Food is now an acidic, liquefied mass called. CHYME
42
What is bile
It is manufactured by the liver, and stored in the gallbladder **** Violent acts as a detergent, it emulsifies, fat to permit enzymes action while suspending fatty acids and solution
43
What is active transport?
An energy dependent process, typically driven by adenosine triphosphate (ATP). During the process particles move from an area of lower concentration to an area of greater concentration. (Against the concentration gradient)
44
What is metabolism?
Refers to all the bio chemical reactions within the cells of the body
45
What is anabolism?
The building of more complex, bio chemical substances, by the synthesis of nutrients
46
What is catabolism
The breakdown of bio chemical substances into simpler substances and occurs during psychological state of negative nitrogen balance is Starvation is an example of cannibalism in the wasting of body tissue, occurs
47
Dietary guidelines for Americans; Key guidelines and recommendations for the general population
-Make nutritional needs primarily from nutrient, dense foods and beverages -Start food planning with consideration of personal preferences -Eat inappropriate mix of food from the food groups and sub groups that is within the appropriate calorie level to promote health of each life stage -Practice food, safety to prevent bacterial foodborne, illnesses, use food, safety principles of clean, separate, cook, and chill -Read nutrition, facts, labels on food products to make informed and healthy food decisions
48
How does grapefruit juice affect medication’s?
Grapefruit juice affects her drugs are changed(metabolized) in the body for eventual elimination, and can alter the amount of drug in your body—— this can lead to enhanced side effects or lower drug effectiveness
49
Nursing process
Food preference Cultural practices and eating Family traditions Nursing history Signs of poor nutrition Common lab tests Plasma proteins : albumin, transferring, pre-albumin, total iron binding capacity, and hemoglobin
50
What is dysphasia?
It is difficulty swallowing
51
Who would be a high nutritional risk?
Patients who are NPO and receive only standard IV fluids for more than 5 to 7 days or a high nutritional risk
52
What is a clear liquid
It would include clear, fat, free broth, bullion, coffee, tea, carbonated, beverages, clear, fruit, juices, gelatin, fruit ices, Popsicles
53
What is a full liquid diet?
Same thing as a clear liquid with addition of: Smooth, textured dairy products (ice cream) Strained or blended cream soups Custard Refined cooked cereals Vegetable juice Puréed vegetables All fruit juices Sherbet Puddings Frozen yogurt
54
Dysphasia stages: thicken liquids, purée
Same as clear and full liquid with the addition of scrambled eggs, puréed, meats, vegetables, and fruits, as well as mashed potatoes and gravy
55
Mechanical soft diet
This will be the same as clear and full liquid and puréed diet. With the addition of all cream, soups, ground or finely diced meats, flaked fish, cottage cheese, cheese, rice, potatoes, pancakes, light, bread, cooked vegetables, canned or cooked fruits, bananas, soups, peanut butter, scrambled eggs.
56
Soft/low residue diet
Addition of low fiber, easily digested foods, such as pastas, casseroles, moist, tender meats, and can’t cook fruits and vegetables; desserts, cakes, and cookies, without nuts or coconut
57
High fiber, diet
Fresh, uncooked, fruits, steamed vegetables, Brandon, oatmeal, and dried fruits
58
Low sodium diet
4-g (no added salt), 2-g, 1-g, or 500 mg sodium diet; very form no add salt to severe sodium restrictions what’s require selective food purchases (reading the sodium levels on the back. Where are the nutrition facts are found)
59
What is a low cholesterol diet?
300 mg/day cholesterol, and keeping with American heart association guidelines for Sarah and lipid reduction
60
Diabetic diet
Nutrition recommendations by the American diabetes association: focus on total energy, nutrient in food distribution; includes a balance intake of carbohydrates, fat, and proteins; fairy caloric recommendations to accommodate patience, metabolic demands
61
What is a gluten-free diet?
This die, illuminate, sweet, oats, right, Berlin, and they’re derivates
62
What is osmosis?
Osmosis is defined as the diffusion of water through a semi permeable membrane to a solution with a lower concentration of water
63
What is dyspnea
Difficult or labored breathing
64
Diabetes inspidus
Pt is urinating a lot
65
Furosemide (lasix)
Loop diuretics It decreases the reabsorption of sodium and chloride in the ascending loop of Henle
66
Hydrochlorothiazide
It increases the secretion of sodium and water in the distal convoluted tubule
67
Spirono lactone
Potassium, sparing, diuretics, cause, sodium and water excretion in the distal tubule, while is promoting potassium retention(blocks aldosterone receptors)
68
Mannitol
Produces diuresis by increasing the osmotic pressure within the kidney