fluid, electrolytes, acid base balance Flashcards

1
Q

average fluid intake is

A

2600cc/day

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2
Q

can be measures (urination, defecation, wounds, etc)

A

sensible loss

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3
Q

cannot be seen/counted (sweating, respirations, etc)

A

insensible loss

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4
Q

serum sodium

A

135-145

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5
Q

serum potassium

A

3.5-5

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6
Q

serum calcium

A

8.6-10.2

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7
Q

serum chloride

A

97-107

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8
Q

bicarb level

A

25-29

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9
Q

increased concentration of RBCs

A

hyperosmolar

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10
Q

decreased concentrations RBCs

A

hypoosmolar

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11
Q

RBCs are hyperosmolar due to a volume ______

A

deficit

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12
Q

RBCs are hypoosmolar due to a volume _______

A

excess

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13
Q

lactated ringers, normal saline

A

isotonic fluids

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14
Q

D5W, D51/2 NS

A

hypotonic fluids

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15
Q

3% NS

A

hypertonic fluid

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16
Q

used for resuscitation

A

isotonic fluids (lactated ringer, NS)

17
Q

maintenance fluid, administer meds with

A

hypotonic fluids (D5W, D51/2 NS)

18
Q

used in very specific situations such as the neuro ICU, head injuries, etc

A

hypertonic fluid (3% NS)

19
Q

how many cc/h should be urinated by pt?

A

30

20
Q

compensate quickly

A

lungs

21
Q

compensate slowly

A

kidneys

22
Q
  • tachypnea
  • adventitious breath sounds
  • rapid/bounding pulse
  • distended neck veins
  • wt. gain
  • extra heart sounds
  • increased UOP
    edema
A

hypervolemia

23
Q
  • hypotension
  • tachycardia
  • thirst
  • decreased UOP
  • confusion
  • wt. loss
A

hypovolemia

24
Q
  • decreased LOC
  • dry mucous membranes
  • prolonged cap refill
  • increased RR
  • weak pulse
  • decreased BP
  • decreased UOP
A

dehydration

25
Q

facilitates cardiac muscle contraction, electrical conductivity, NM transmission of nerve impulses

A

potassium

26
Q
  • irregular HR –> fast choetic
  • leg cramps
  • fatigue
  • paresthesia
A

hypokalemia

27
Q
  • very slow regular HR –> cardiac arrest
  • skeletal muscle weakness/paralysis
A

hyperkalemia

28
Q

hyperactive DTR

A

hypomagnesium

29
Q

loss of DTR

A

hypermagnesium

30
Q

pH level

A

7.35-7.45

31
Q

paO2 level

A

80-100

32
Q

paCO2 level

A

35-45

33
Q

HCO3 level

A

25-29

34
Q

Hgb

A

12-17