Hurst fluids and electrolytes (moved to FCH)

Question 0

Steroid, mineralocorticoid

Found in adrenal glands on top of the kidneys

Answer 0

Aldosterone

Question 1

Alka-Seltzer, fleet enema, and IVF with sodium

Answer 1

3 Medications that contain plenty of sodium

Question 2

Diseases with too much aldosterone include Cushing’s and conn’s syndrome (hyperaldosteronism)

Disease with too little aldosterone is Addison’s disease

Answer 2

Aldosterone diseases

Question 3

Found in atrium of the heart

works the opposite of aldosterone so it loses sodium and water

Answer 3

Atrial natriuretic peptide (ANP)

Question 4

SIADH syndrome of inappropriate ADH secretion – too much ADH

Diabetes insipidus- not enough ADH

Answer 4

2 ADH diseases

Question 5

Hormone FOUND IN THE PITUITARY GLAND LOCATED IN THE CENTER OF THE FOREHEAD

Hormone replacements include vasopressin (Pitressin) or Desmopressin acetate (DDAVP) used to treat diabetes insipidus

Answer 5

ADH

Question 6

Craniotomy, head injury, sinus surgery, Transsphenoidal hypophysectomy, or any condition that can lead to increased intracranial pressure

Answer 6

Conditions and procedures that can lead to an ADH problem

Question 7

Measured at right atrium

More volume, more pressure

Answer 7

Central venous pressure

Question 8

Crystalloids

Normal saline
lactated ringer’s
D5W
D51/4NS

Goes into the vascular space and stays there!
Fluid Stays where I put it!

Answer 8

Isotonic solutions

Question 9

hydrating fluid
goes into the vascular space then shifts out into the cells to replace cellular fluid
they do not cause hypertension because they don’t stay in the vascular space
Fluid Gets out of vessel
examples include: D2.5W, 1/2NS, 0.33%NS

Answer 9

Hypotonic solutions

Question 10

Colloid
Fluids enter the vessel
Volume expanders that will draw fluid into the vascular space from the cells
Examples: D10W, 3% normal saline, 5% normal saline, D5 LR, D5 1/2 normal saline, D5 normal saline, TPN, albumin

Answer 10

Hypertonic solutions

Question 11

Like calcium, acts like A sedative
Think muscles first
Antacids contain plenty of this electrolyte
Excreted by kidneys and GI tract
Plenty contained in intestines
Antidote is calcium gluconate

Answer 11

Magnesium

Question 12

Antidote for magnesium toxicity

Answer 12

Calcium gluconate

Question 13

Has inverse relationship with phosphorus
Direct relationship with parathyroid hormone PTH
Majority of kidney stones are made of this
Must have vitamin D to use this

Answer 13

Calcium

Question 14

Phospho-Soda and fleet enema contain plenty of this
Has inverse relationship with calcium
Contained in anything with protein

Answer 14

Phosphorus

Question 15

Pulls calcium from the bones and puts it into the blood, increasing serum calcium
has a direct relationship with calcium

Answer 15

Parathyroid hormone PTH

Question 16

Suppresses ADH
hypertonic solution
makes you diurese

Answer 16

Alcohol

Question 17

When you think of sodium, what physiological changes do you think of first?

Answer 17

Neuro changes

Question 18

Excreted by the kidneys
Plentiful in the stomach and cells
Inverse relationship with sodium
With burn patients, burns kill cells and release potassium into the circulation, causing hyperkalemia

Answer 18

Potassium

Question 19

Symptoms include muscle cramps and weakness

Metabolic alkalosis-as potassium goes down, acidity goes down

Answer 19

Hypokalemia

Question 20

Starts with muscle twitching, proceeds to weakness, then flaccid paralysis
Metabolic acidosis- Potassium has a direct relationship with acidity
Expected with Burn patients

Answer 20

Hyperkalemia

Question 21

Can lead to coma and death

Answer 21

Acidosis

Question 22

Can lead to seizures and death

Answer 22

Alkalosis

Question 23

Anywhere there is a vessel, there is a?

Answer 23

Nerve

Question 24

When you think of fluid retention, what physiological problems do you think of first?

Answer 24

Heart problems

Question 25

contains plenty of potassium

Answer 25

salt substitutes

Question 26

what part of the body hates when the pH is messed up?

Answer 26

Brain

Question 27

anything that requires energy breaks down into what?

Answer 27

acid