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Fluid & Electrolytes
NP1 Fluid & Electrolytes
45
Nursing
Undergraduate 1
10/03/2013

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Cards

Term
How much of a middle-aged mans weight is composed of water?
Definition
60%
Term
How much of an older mans weight is composed of water?
Definition
50%
Term
How much of a womans weight is composed of water, in comparison to a mans?
Definition
Typically less
Term
Why do obese patients have have less water in their bodies?
Definition
The fat contains less water than muscle
Term
Cation
Definition
Positively charged ion
Term
Anion
Definition
Negatively charged ion
Term
What does it mean when your solution is in millimoles per liter?
Definition
It's the number of milligrams of the electrolyte divided by its molecular weight contained within the fluid being measured
Term
Osmolality
Definition
Number of particles per kilogram of water
Term
What is the normal value for sodium?
Definition
136-145 mEq/L
Term
What is the normal value for potassium?
Definition
3.5-5.0 mEq/L
Term
How do cells maintain high intracelluar electrolyte concentration?
Definition
Using active transport
Term
Active Transport
Definition
Uses ATP to move electrolytes from areas of lower concentration to areas of higher concentration
Term
Diffusion
Definition
Diffusion is passive movement of electrolytes or other particles down the concentration gradient
Term
Osmotic Pressure
Definition
an inward-pulling force caused by particles in the fluid
Term
Cells in ICF exert pressure to pull water in or out of the cell?
Definition
In
Term
Cells in intersitial (ECF) fluid exert intersitial pressure to pull water in or out of the cell?
Definition
Out
Term
Why would a patient be on a hypotonic solution?
Definition
They have a fluid volume loss
Term
Give an example of why a patient would be on a hypotonic IV drip.
Definition
Dehydration
Term
Why would a patient be on a hypertonic solution?
Definition
They need electrolytes but have too much fluid already
Term
Where is capillary hydrostatic pressure strongest?
Definition
At the arterial end
Term
Where is the colloid osmotic pressure strongest?
Definition
At the venous end
Term
What accounts for most fluid intake?
Definition
habit and social reasons
Term
Average fluid intake:
Definition
2200-2700 mL
Term
Insensible & Sweat (Skin) Output
Definition
500-600 mL
Term
Normal Amount: Insensible fluid output from the lungs
Definition
400 mL
Term
Normal Amount: GI Fluid Output
Definition
100-200 mL
Term
Normal Amount: Urine Fluid Output
Definition
1200-1500 mL
Term
GI Vital Role in fluid balance. (How much moves in and what does the GI do with it)
Definition
Approximately 3 to 6 L of fluid moves into the GI tract daily and then returns again to the ECF
Term
If a patient has dehydration and pain, what will happen to the ADH level? Why?
Definition
Increased to prevent more fluid loss
Term
If you have an alcoholic patient and they say they urinate very frequently, is there a cause for concern in terms of output? Why?
Definition
No, alcohol increases ADH which will cause them to urinate more than normal.
Term
If a patient is hemmoraging, what happens to the Renin-Angiotensin-Aldosterone System? (The process)
Definition
More renin is released to create angiontensin to stimulate the release of aldosterone to cause re-absorption.
Term
What does Atrial natriuretic peptide (ANP) inhibit?
Definition
ADH release
Term
Volume imbalances are disturbances of:
Definition
the amount of fluid in the extracellular compartment.
Term
Osmolality imbalances are disturbances of:
Definition
the concentration of body fluids.
Term
What is hypovolemia?
Does it result from an ECV deficit or excess?
Definition
decreased vascular volume and often is used when discussing ECV deficit
Term
When you eat more salty foods than usual and drink water and you notice swelling in your ankles what is that an indication of?
Definition
ECV Excess
Term
What is hypernatremia?
Is it hypertonic or hypotonic?
Definition
Water deficit, Hypertonic
Term
What is hyponatremia?
Is it hypertonic or hypotonic?
Definition
Water excess of water intoxication, hypotonic
Term
Why does hypernatremia occur? (Two reasons)
Definition
loss of relatively more water than salt or gain of relatively more salt than water
Term
Why does hyponatremia occur? (Two reasons)
Definition
gain of relatively more water than salt or loss of relatively more salt than water
Term
Clinical dehydration occurs because
Definition
The ECV is too low, and the body fluids are too concentrated
Term
The patient has severe diarrhea and vomiting and is exhibiting signs of cerebral dysfunction, what is a possible (medical) diagnosis?
Definition
Clinical Dehydration
Term
Can electrolyte output occur in fistulas and drainage tubes?
Definition
yes
Term
What are common causes of hypokalemia ?
Definition
increased potassium output include diarrhea, repeated vomiting, and use of potassium-wasting diuretics.
Term
What is a common cause of hyperkalemia?
Definition
Oliguria
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