NUR111-Exam3 Flashcards

1
Q

osmosis

A

fluids shifting, through membranes, from an area of low solute [] to a higher solute [] to acheive homeostasis

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2
Q

Diffusion

A

Involves fluid movement from an area of high solute [] to an area of lower solute []

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3
Q

Active transport

A

E required process that moves ions across the cell membrane against a [] gradient

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4
Q

How is Fluid and Electrolyte balance achieved?

A

Fluid intake, Hormonal regulation, Fluid output

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5
Q

name 3 hormones responsible for fluid I&O

A

ADH, renin, Aldosterone

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6
Q

What does aldosterone do?

A

It promotes the retention of sodium and bicarbonate, the excretion of potassium and hydrogen ions, and the secondary retention of water. Large excesses can invoke plasma volume expansion, edema, and hypertension.

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7
Q

What does renin do?

A

Renin stimulates the release of Aldosterone
The increased secretion of aldosterone, results in retention of salt and water by the kidneys and therefore increased extracellular fluid volume, cardiac output, and arterial pressure..

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8
Q

What are some things electrolytes do?

A
  • regulate fluid and hormone production
  • Strengthen skeletal structures
  • Act as catalysts in nerve response and muscle contraction
  • important in the metabolism of nutrients
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9
Q

Which electrolytes are not stored?

A

Na+ and Cl-

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10
Q

Where is K+ stored?

A

In cells.

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11
Q

What are the MAJOR electrolytes in the body?

A

Na+, Cl-, K+, Mg+, P, Ca++

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12
Q

Normal Sodium Levels

A

136-145 mEq/L

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13
Q

Function of Na+

A

helps maintain the balance of fluid in a person’s body. It’s also importantin nerve function.

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14
Q

What is hyponutremia?

A

Na= moves from ECF into the ICF - - - cells swell (cerebral edema)

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15
Q

What are the serum sodium levels for hyponutremia?

A

Serum sodium levels less than 136 mEq/L

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16
Q

Complications of acute hyponutremia?

A

Coma, seizures, respiratory arrest

17
Q

Causes of HYPOnutremia?

A

*Abnormal GI losses - V&D, NG suctioning, tap water enemas
*Renal losses - Diuretics, kidney disease, adrenal insufficiency, excessive sweating
*Skin losses - Burns, wound drainage, GI obstruction, peripheral edema, ascites
*Excessive oral H2O intake
*Edematous states - Heart Failure, Cirrhosis, Nephrotic syndrome
Inadequate Na+ intake
Age related - diuretics, chronic illnesses

18
Q

Vitals of Hyponatremia?

A

hypothermia, tachy, rapid/thready pulse, orthostatic hypotension

19
Q

Neuromusculoskeletal S/S of hyponatremia

A

headache, confusion, lethargy, muscle weakness w/possible resp, comprimise, fatigue, decreased DTR

20
Q

what is DTR?

A

Deep tendon reflex (mallet to patellar tendon)

21
Q

GI s/s of hyponatremia

A

increased motility, hyperactive bowel sounds, abdominal cramping, nausea

22
Q

Collaborative care for Hyponatremia

A
  1. Report Abnormal findings to provider
  2. Fluid overload- restrict H2O intake as Rx
  3. monitor I&O and weigh client daily***, VS, LOC, report abnormal findings
  4. Encourage freq. positional changes
  5. Follow prescribed fluid restrictions
23
Q

Care for acute hyponatremia

A

Administer hypertonic oral and IV fluids as Rx

Encourage fluids and foods high in Na+

24
Q

Restoration of ECF vol. w/ Hyponatremia

A

Administer isotonic IV therapy (0.9% NaCl, lactated ringers)

25
Q

Critical Hct Values

A

60%

26
Q

What is significance of Hct

A

High # indicates dehydration or enlarged RBCs

27
Q

Disease states that effect Hct

A

CHD - chronically low P O2 values cause increase in RBC production

  • Polycythemia vera - bone marrow prod. >RBCs
  • Severe dehydration due to burns, diarrhea
  • Severe COPD - chronic hypoxia stimulates RBC prod.
28
Q

Significance of Serum Osmolality

A

Fluid/Electrolyte balance –it measures the [ ] of dissolved particles in the blood.

29
Q

When would Serum Osmolality increase?

A

With dehydration

30
Q

What population would show abnormalities in Serum Osmolality?

A

Pts with: seizures, ascites, hydration status, acid-base balance, suspected ADH abnormalities

31
Q

Panic Values for Serum Osmolality

A

< 240 mOsm or > 321 mOsm
384 mOsm produces stupor
400 mOsm -> grand mal seizures
420 mOsm are fatal