mod 2 fluid and electrolyte Flashcards
1
Q
ecv excess is too concentrated at GT 145 Na & __300 Osm
A
gt
2
Q
ecv excess is GT 5 __
A
K
3
Q
ecv deficit is LT 3.5 K and 135 __
A
Na
4
Q
ecv deficit is LT 280 __
A
osm
5
Q
Provides the basis for blood, lymph, and serous fluid
A
water
6
Q
Transportation of gases, nutrients and waste with ___
A
water
7
Q
Needed for chemical reactions
A
water
8
Q
Flushes wastes product through kidneys and GI tr act
A
water
9
Q
water can be a __ or base
A
acid
10
Q
ICF is 2/3 of __
A
TBW
11
Q
ECF is 15-20% of ___
A
TBW
12
Q
IV and ISF are ICF or ECF?
A
ECF
13
Q
transcellular space is ICF or ECF?
A
ECF
14
Q
small amount of fluid in GI tract, cerebrospinal fluid, pleural, synovial, & peritoneal fluids
A
transcellular space
15
Q
between cells, outside vascular space
A
ISF
16
Q
inside the BV(plasma)
A
IV fluid
17
Q
maintains cell size and function is ICF or ECF?
A
ICF
18
Q
ICF and ECF make up ___
A
TBW
19
Q
hydrostatic and oncotic pressure force fluid to ___
A
move
20
Q
osmosis and active __ moves F/E between ICF and ECF
A
transport
21
Q
diffusion and Facilitate diffusion move __ between ICF and ECF
A
F/E
22
Q
diffusion is __ from high to low concentration
A
solute
23
Q
Blood pressure generated by heart contraction is ___ pressure
A
hydrostatic
24
Q
Osmotic pressure caused by plasma proteins is __ pressure
A
oncotic
25
Amount of pressure required to stop osmotic flow of water is __ pressure
osmotic
26
Determined by concentration of solutes in solution is osmotic ____
pressure
27
hypothalamus is the __ drive
thirst
28
normal BNP is __100
LT
29
normal distribution is ___ spacing
first
30
abnormal/edema is second ____
spacing
31
Fluid accumulation in part of the body where it is not easily exchanged with the ECF is third ___
spacing
32
ECV __ has low intake and norm output
deficit
33
ECV ___ has norm intake and high output
deficit
34
ECV __has high intake and norm output
excess
35
ECV __ has norm intake and low output
excess
36
IV fluids and diuretics make an ___
imbalance
37
V/D and HF cause __
imbalances
38
young and old are at __ for imbalance
risk
39
V/D and organ failure are red __ for an imbalance
flags
40
N and fatigue are ___ flags for imbalance
red
41
dizzy and SOB are red __ for imbalance
flag
42
cramp and edema and weight change is red __ for imbalance
flag
43
low CO with hypovolemia or hyper??
hypo
44
impaired gas exchange and pulm edema/ascites with hypervolemia or hypo?
hyper
45
dehydration has __ BUN & osm
high
46
dehyrdration has ___hct, protein and E
high
47
fluid overload has __osm, BUN, E, and protein
low
48
__ BNP is ass with fluid overload
high
49
K transmits nerve impulse and do __ contraction
cardiac
50
K does skeletal contraction and __ enzymes
activates
51
K does insulin regulation and __
storage
52
renal failure and acidosis cause ___
hyperkalemia
53
ACEI and burns cause ____
hyperkalemia
54
fever and crush injury cause ___
hyperkalemia
55
s/s are irritable and ab cramps of hyper__
kalemia
56
s/s are weakness and cardiac arrythmias with hyper__
kalemia
57
s/s are peaked t waves and you need to give reg insulin&dextrose 50% iv with hyper__
kalemia
58
Kayexalate and cardiac M with hyper__
kalemia
59
give diuretics and M VS with hyper____
kamelia
60
E and renal dialysis are hyper___ care
kalemia
61
watch for cardiac ___ with K probs.
arrest
62
D and dysrhythmias are s/s of hyper___
kalemia
63
EKG changes and low BP are s/s of hyper__
kalemia
64
twitch to cramps to paresthesia with hyper__
kalemia
65
N/V/D cause hypo__
kalemia
66
diuretics and NGT cause hypo___
kalemia
67
alkalosis and insulin cause hypo___
kalemia
68
fatigue and weakness are s/s of hypo___
kalemia
69
BC and irreg pulse are s/s of hypo___
kalemia
70
paresthesia is a s/s of hypo____
kalemia
71
M and give __ for hpokalemia
K
72
premature vetricular contractions are risks of __kalemia
hypo
73
alkalosis and shallow respirations are s/s of __kalemia
hypo
74
irritable and confused are s/s of ___kalemia
hypo
75
drowsy and lethargic are s/s of hypo__
kalemia
76
thready pulse and TC are s/s of __kalemia
hypo
77
fatigue and N/V are s/s of __kalemia
hypo
78
ileus and irregular HR are s/s of __kalemia
hypo
79
Na __ Cl and influcences renal excretion of water
regulates
80
Na ___ NM reactions and is opp charge of K+
initiates
81
dehydration and NGT suction can __ hypernatremia
cause
82
drains and fever can __ hypernatremia
cause
83
burns and diarrhea can __ hypernatremia
cause
84
seizure risk with hypernatremia. torf?
true
85
IV D5%W are __ for hypernatremia
interventions
86
AMS and seizures are s/s of hyper__
natremia
87
agitation and twitching are s/s of ___natremia
hyper
88
___ cardiac contractility and thirst are s/s of hypernatremia
low
89
__ MM are s/s of hypernatremia
sticky
90
hypervolemia and polydipsia are ___ of hyponatremia
causes
91
diuretics and burns are ___ of hyponatremia
causes
92
ALOC and confusion are __ of hyponatremia
s/s
93
seizures and weakness are ___ of hyponatremia
s/s
94
ab cramps is a _ of hyponatremia
s/s
95
0.9 NaCl and 3% NaCl are __ for hyponatremia
interventions
96
M cardiac and E as a ___ for hyponatremia
intervention
97
seizures are a __for hyponatremia
risk
98
if V/D, give ___
fluids
99
if edema____ fluids
limit
100
__ to give are diuretics, insulin and vasopressin
drugs
101
maintain IV fluids when __ intake is not good
oral
102
0.9% Sodium Chloride or Lactated Ringers are ___
isotonic
103
0.45% Sodium Chloride and D5%W are __
hypotonic
104
D5%1/2 NaCl is __
hypertonic
105
D5%.9NaCl and D10%W are ___
hypertonic
106
albumin an plasma are ___ expanders
plasma
107
dextran and hetastarch are plasma ___
expanders
108
packed RBC are ___ expanders
plasma
109
daily weight and M I/O are ___
interventions
110
oral hygiene and comfort measures are ___
interventions
