Test One Flashcards
What foods (7) are good sources of sodium?
Cheese, salt, seafood, processed meats, canned vegetables and soups, ketchup, snacks (pretzels/potato chips)
What foods (14) are good sources of potassium?
Meats, fish, vegetables (potato, carrot, mushroom, tomatoes), fruits (oranges, bananas, apricots, cantaloupe, dried fruit), nuts and seeds, chocolate and licorice
What foods (6) are good sources of Calcium?
bone meal, dairy products (milk, cheese, yogurt), leafy green vegetables, legumes, nuts, and whole grains
What foods (8) are good sources of Magnesium?
Dry beans and peas, green leafy vegetables, meats, nuts, seafood, whole grains, chocolate
What are the fluid compartment consequences of hypotonic overhydration?
ECF compartment volume expands, ICF volume expands
Which condition is most likely to cause formation of edema?
Decreased plasma osmotic pressure, increased plasma hydrostatic pressure
Hypertonic dehydration – What would be the fluid compartment consequences?
ECF compartment expands, ICF contracts
Extracellular fluids (ECF) are composed of ____, ______, and ______.
Interstitial fluid, transcellular fluid, and intravascular fluid
What is first spacing?
fluid spacing in balance, fluid is where it should be, just the right amount in ICF and ECF
What is second spacing?
When fluid flows into the interstitial space, aka edema
What is third spacing?
fluid accumulation in areas that normally have no fluid or a minimal amount of fluids (ascites or edema with burns)
- Trapped fluid=fluid loss
- in an area that is physiologically inaccessible (body can’t use it)
Thirds spacing takes fluid away from…
normal fluid compartments (hypovolemia)
How do you get rid of third spacing?
surgically (parencentecisis/thoracentesis) or by hypertonic solution
Ascities can lead to __________, or if it gets absorbed it can lead to _______
hypovolemia, hypervolemia
What 4 areas can third spacing happen in?
Peritoneal, pericardial, pleural, joint cavities (also bowel, abdomen or within soft tissues)
What’s the difference between hypertonic dehydration and hypotonic dehydration?
Hypertonic: water loss exceeds electrolyte loss, fluid moves from ICF to plasma and interstitial spaces–> cellular dehydration and shrinkage
Hypotonic: electrolyte loss exceeds water loss, fluid moves from plasma and interstitial into the cells, causing a plasma volume deficit and cells to swell
What happens when you give a hypertonic IV solution?
water moves out of cells (ICF), into the bloodstream
What happens when you give a hypotonic IV solution?
water moves into the cells and expands them
D5W (5% dextrose in water) is isotonic, hypertonic, or hypotonic?
Hypotonic (isotonic solution out of body, but once in the body it’s hypotonic (because the 5% is so little and used up instantly))
What is hydrostatic pressure?
A pushing pressure, like a fire hose on full blast
-force exerted by weight of a solution
What happens when a difference exists in the hydrostatic pressure on two sides of a membrane?
water and difussible solutes move out of the solution that has the higher hydrostatic pressure by filtration
At the arterial end of a capillary, they hydrostatic pressure is _____ than osmotic pressure; therefore fluids and diffusible solutes…
higher; move out of the capillary
At the venous end of the capillary, the hydrostatic pressure is _____ than osmotic pressure; therefore fluids and some solutes…
lower, move into the capillary
What is Osmotic pressure?
a pulling pressure
-determined by concentration of solutes in solution
Where do solvents move when osmotic pressure is unequal?
solutes move from less concentrated solute side to more concentrated solute side
What is diffusion?
Diffusion of a solute from higher concentration to lower concentration (through permeable or semipermeable membranes)
What is osmosis?
movement of solvent across a membrane from lower to higher solute concentration
What is filtration?
movement of solutes and solvents by hydrostatic pressure (from higher pressure to lower pressure)
Which movement process is this?
movement of fluid (water) between intravascular and interstitial spaces
Filtration
Which movement process is this?
Movement of solutes or fluid between extracellular and intracellular compartments
Diffusion and osmosis
What causes edema?
excess fluid in interstitial space
-occurs as a result of alterations in oncotic pressure, hydrostatic pressure, capillary permeability, and lymphatic obstruction
What is ascities?
The accumulation of excess fluid in the peritoneal cavity (third spacing)
____ process occurs when hydrostatic pressures differ on each side of the membrane
filtration
Hydrostatic pressure moves water from the _____ into the ____
from capillaries into interstitial fluid
What 3 factors alter hydrostatic pressure?
blood volume, force of contraction (of the heart on the arteries), and resistance of blood vessels (vasocontricted or vasodilated)
The compartment with higher concentration of solute has the _____ osmotic pressure
higher
What causes dehydration?
Inadequate intake of fluids and solutes, fluid shifts, loss of bod fluids, chronic illness, excessive fluid replacement (hypotonic), kidney disease, chronic malnutrition
Prolonged diarrhea–> which type of dehydration?
hypertonic dehydration
Hypovolemia is what kind of dehydration?
Isotonic dehydration (water and dissolved electrolytes lost in equal proportions)
Who is at risk for dehydration?
elderly, obese, very young
What 2 factors stimulate the thirst mechanism?
- Decrease in ECF volume
- Increase in ECF osmolarity (osmotic pressure)
Anti-diuretic hormone (ADH) makes the kidneys _______
increase water reabsorption, decreases urine output
Isotonic IV solutions increase…
ECF volume (don’t enter the cells because no osmotic force exists to shift fluids)
Hypotonic IV solutions cause movement of water (where)…
into cells by osmosis
Hypertonic IV solutions cause movement of water (where)…
from cells into the extracellular fluid by osmosis
Colloid IV solutions pull fluid from… to…
from the interstitial compartments into the vascular compartment (used to increase vascular fluid rapidly, like with a hemorrhage or severe hypovolemia)
What is infiltration?
seepage of the IV fluid out of the vein and into the surrounding tissue
What is phlebitis?
inflammation of the vein, can cause a clot to form (thrombophlebitis)
What is extravasation?
The escape of fluid from its physiologic contained space, e.g., bile, blood, cerebrospinal fluid (CSF), into the surrounding tissue
Which IV complication is this?
tachycardia, chest pain, hypotension, cyanosis, decrease LOC
air embolism
Which IV complication is this?
Decrease in blood pressure, pain along the vein; weak, rapid pulse; cyanosis of the nail beds; loss of consciousness
catheter embolism
Which IV complication is this?
increase BP, distended jugular veins, rapid breathing, dyspnea, moist cough and crackles
circulatory overload
Which IV complication is this?
Ecchymosis, immediate swelling and leakage of blood at the sit, and hard/painful lumps at the site
hematoma
Which IV complication is this?
Local-redness, swelling, and drainage at the site
Systemic-chills, fever, malaise, headache, nausea, vomiting, backache, and tachycardia
Infection
Which IV complication is this?
Edema, pain, and coolness at the site; may or may not have a blood return
Infiltration
Which IV complication is this?
Heat, redness, tenderness at the site; not swollen or hard; IV infusion sluggish
Phlebitis (inflammation of the vein)