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electrolytes and fluids
248 test 2
14
Nursing
Undergraduate 2
04/01/2012

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Cards

Term
sodium (Na) normal range
Definition
normal range 135-145 mEq/L
Term
potassium (K+) normal range
Definition
3.5-5 mEq/L
Term
calcium (Ca) normal range
Definition
8.5-10.2 mg/dL
Term
magnesium (Mg) normal range
Definition
1.7-2.2 mg/dL
Term
when to give fluids?
Definition
fluid volume deficit (isotonic loss- fluid AND particles)
dehydration (water loss w/out solute loss)
Term
give hypotonic fluid when...
Definition
want to pull fluid out of intravascular (plasma) and into ECF
used in cellular dehydration and to reduce/lower sodium levels
Term
give hypertonic fluids when...
Definition
used to restore low sodium levels and improve vascular volume
pulls fluids into intravascular
Term
give isotonic fluids when...
Definition
want to restore ECF (extracellular fluid)
used in fluid resuscitation
Term
risks/dangers associated with giving isotonic fluids
Definition
D5W can cause water intoxication, RL should not be used with liver disease, alkalosis, or lactic acidosis
Term
risks/dangers associated with giving hypotonic fluids
Definition
water intoxication, cerebral edema
Term
risks/dangers associated with giving hypertonic fluids
Definition
volume overload, hypernatremia
Term
when to take away fluids?
Definition
fluid volume overload (too much in plasma)
third-spacing (not really taking them away but moving them to the right place)
Term
how do we get rid of fluids?
Definition
diuretics (lasix)
move them --third spacing
Term
what assessments give us info about fluid status? (6)
Definition
lung sounds
skin turgor
edema
HR
BP
urinary output
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