mod 2 fluid and electrolyte Flashcards
ecv excess is too concentrated at GT 145 Na & __300 Osm
gt
ecv excess is GT 5 __
K
ecv deficit is LT 3.5 K and 135 __
Na
ecv deficit is LT 280 __
osm
Provides the basis for blood, lymph, and serous fluid
water
Transportation of gases, nutrients and waste with ___
water
Needed for chemical reactions
water
Flushes wastes product through kidneys and GI tr act
water
water can be a __ or base
acid
ICF is 2/3 of __
TBW
ECF is 15-20% of ___
TBW
IV and ISF are ICF or ECF?
ECF
transcellular space is ICF or ECF?
ECF
small amount of fluid in GI tract, cerebrospinal fluid, pleural, synovial, & peritoneal fluids
transcellular space
between cells, outside vascular space
ISF
inside the BV(plasma)
IV fluid
maintains cell size and function is ICF or ECF?
ICF
ICF and ECF make up ___
TBW
hydrostatic and oncotic pressure force fluid to ___
move
osmosis and active __ moves F/E between ICF and ECF
transport
diffusion and Facilitate diffusion move __ between ICF and ECF
F/E
diffusion is __ from high to low concentration
solute
Blood pressure generated by heart contraction is ___ pressure
hydrostatic
Osmotic pressure caused by plasma proteins is __ pressure
oncotic
Amount of pressure required to stop osmotic flow of water is __ pressure
osmotic
Determined by concentration of solutes in solution is osmotic ____
pressure
hypothalamus is the __ drive
thirst
normal BNP is __100
LT
normal distribution is ___ spacing
first
abnormal/edema is second ____
spacing
Fluid accumulation in part of the body where it is not easily exchanged with the ECF is third ___
spacing
ECV __ has low intake and norm output
deficit
ECV ___ has norm intake and high output
deficit
ECV __has high intake and norm output
excess
ECV __ has norm intake and low output
excess
IV fluids and diuretics make an ___
imbalance
V/D and HF cause __
imbalances
young and old are at __ for imbalance
risk
V/D and organ failure are red __ for an imbalance
flags
N and fatigue are ___ flags for imbalance
red
dizzy and SOB are red __ for imbalance
flag
cramp and edema and weight change is red __ for imbalance
flag
low CO with hypovolemia or hyper??
hypo
impaired gas exchange and pulm edema/ascites with hypervolemia or hypo?
hyper
dehydration has __ BUN & osm
high
dehyrdration has ___hct, protein and E
high
fluid overload has __osm, BUN, E, and protein
low
__ BNP is ass with fluid overload
high
K transmits nerve impulse and do __ contraction
cardiac
K does skeletal contraction and __ enzymes
activates
K does insulin regulation and __
storage
renal failure and acidosis cause ___
hyperkalemia
ACEI and burns cause ____
hyperkalemia
fever and crush injury cause ___
hyperkalemia
s/s are irritable and ab cramps of hyper__
kalemia
s/s are weakness and cardiac arrythmias with hyper__
kalemia
s/s are peaked t waves and you need to give reg insulin&dextrose 50% iv with hyper__
kalemia
Kayexalate and cardiac M with hyper__
kalemia
give diuretics and M VS with hyper____
kamelia
E and renal dialysis are hyper___ care
kalemia
watch for cardiac ___ with K probs.
arrest
D and dysrhythmias are s/s of hyper___
kalemia
EKG changes and low BP are s/s of hyper__
kalemia
twitch to cramps to paresthesia with hyper__
kalemia
N/V/D cause hypo__
kalemia
diuretics and NGT cause hypo___
kalemia
alkalosis and insulin cause hypo___
kalemia
fatigue and weakness are s/s of hypo___
kalemia
BC and irreg pulse are s/s of hypo___
kalemia
paresthesia is a s/s of hypo____
kalemia
M and give __ for hpokalemia
K
premature vetricular contractions are risks of __kalemia
hypo
alkalosis and shallow respirations are s/s of __kalemia
hypo
irritable and confused are s/s of ___kalemia
hypo
drowsy and lethargic are s/s of hypo__
kalemia
thready pulse and TC are s/s of __kalemia
hypo
fatigue and N/V are s/s of __kalemia
hypo
ileus and irregular HR are s/s of __kalemia
hypo
Na __ Cl and influcences renal excretion of water
regulates
Na ___ NM reactions and is opp charge of K+
initiates
dehydration and NGT suction can __ hypernatremia
cause
drains and fever can __ hypernatremia
cause
burns and diarrhea can __ hypernatremia
cause
seizure risk with hypernatremia. torf?
true
IV D5%W are __ for hypernatremia
interventions
AMS and seizures are s/s of hyper__
natremia
agitation and twitching are s/s of ___natremia
hyper
___ cardiac contractility and thirst are s/s of hypernatremia
low
__ MM are s/s of hypernatremia
sticky
hypervolemia and polydipsia are ___ of hyponatremia
causes
diuretics and burns are ___ of hyponatremia
causes
ALOC and confusion are __ of hyponatremia
s/s
seizures and weakness are ___ of hyponatremia
s/s
ab cramps is a _ of hyponatremia
s/s
0.9 NaCl and 3% NaCl are __ for hyponatremia
interventions
M cardiac and E as a ___ for hyponatremia
intervention
seizures are a __for hyponatremia
risk
if V/D, give ___
fluids
if edema____ fluids
limit
__ to give are diuretics, insulin and vasopressin
drugs
maintain IV fluids when __ intake is not good
oral
0.9% Sodium Chloride or Lactated Ringers are ___
isotonic
0.45% Sodium Chloride and D5%W are __
hypotonic
D5%1/2 NaCl is __
hypertonic
D5%.9NaCl and D10%W are ___
hypertonic
albumin an plasma are ___ expanders
plasma
dextran and hetastarch are plasma ___
expanders
packed RBC are ___ expanders
plasma
daily weight and M I/O are ___
interventions
oral hygiene and comfort measures are ___
interventions
