Fluid & Electrolytes Flashcards
Adult body weight is __% water
60
Older adult is ____ -____% water
45-55
Do women have a greater or smaller percentage of water?
Smaller due to fat
Infant body water
70-80%
Fluid compartments (body fluid breakdown
Intracellular - 70%
Extracellular - 30%
Extracellular fluid breakdown
Interstitial - 75%
Intravascular 25%
Transcellular fluids (CSF, intraocular fluid, GI tract secretions, pleural fluid)
Plasma is ____ % of body weight
5%
Why do you have more intracellular fluid as you get older?
Because you have more cells
Functions of body water
Provides form Maintains heat balance Transports food & electrolytes Allows electrolytes to ionize Transports gases and wastes Medium for chemical reactions Lubricant Shock absorber
What is the best way to prevent post-op complications?
Early and frequent ambulation
What is the best way to assess fluid balance in an adult?
A child?
Daily weight
Specific gravity
Insensible fluid loss
Cannot measure (skin, sweat, feces, lungs) *Person with increased temp and frequent respirations may be losing more fluid
Normal daily I&O
2000-2500 mL
Intake includes
Liquid
Food
Oxidation of food
Output includes
Lungs
Skin
Urine
Feces
Drinking allowance for end-stage renal failure
Amount of elimination (probably low) + 500mL insensible loss
(do not give to them all at once)
1st spacing
Where fluid should be
2nd spacing
Excess fluid where it should be (edema)
3rd spacing
Fluid where it does not belong
pleural effusion, cardiac tamponnade/ effusion, ascites
1L = __ kg
1
Normal specific gravity
1.010-1.030
Distilled water-1
Specific gravity of 1.4
Dehydrated
Electrolyte: Regulation of water distribution
Sodium
Electrolyte: transmission of nerve impulses
Calcium, sodium and potassium
Electrolyte: contraction of muscle
Calcium
Electrolyte: Generation of ATP
Phosphorus
Electrolyte: clotting of blood
Calcium
Osmosis: Diabetes
High blood sugar causes fluid to come out of the cells –> Polydipsia, polyuria, polyphasia
Colloidal osmotic pressure is the ______ of water
Pulling
Oncotic pressure is important at the ______ level
Capillary
Osmolality is used typically to…
Evaluate the concentration of plasma and urine
Osmolarity is typically used…
In reference to fluids outside the body
Contributors to osmolality
Na+
Glucose
Urea
What organ maintains osmolality?
Kidneys