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Fluids
NUR 205 Test II
28
Nursing
Undergraduate 3
04/03/2011

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Cards

Term
Na
Definition
135-145, water balance regulator and nerve impulse transmission. Major in the ECF.
Term
K
Definition
3.5-5, metabolic activities, normal cardiac conduction and muscle contraction. Major in the ICF.
Term
Ca
Definition
8.5-10.5, most is in the bone, necessary for bone and teeth formation and blood clotting
Term
Mg
Definition
1.5-2.5 enzyme activities and neurochemical activities.
Term
Cl
Definition
95-105, follows Na.
Term
HCO3
Definition
A: 22-26
V: 24-30
Kidneys regulate and act with in hours or days to any changes.
Term
Phos
Definition
2.8-4.5
Inversely proportional to Calcium levels, promotes normal neuromuscular action, and participates in CHO production.
Term
ECF divisions
Definition
Interstitial fluid, Intravascular Fluid, Transcellular Fluid
Term
Interstitial Fluid components
Definition
fluid b/w cells, outside blood vessels, lymph
Term
Intravascular Fluid
Definition
Blood plasma found in the vascular system
Term
Transcellular Fluid
Definition
Fluid separated from other fluids by a cellular barrier and consists of CSF, pleural GI, intraocular, peritoneal and synovial.
Term
Osmosis
Definition
Movement of a solvent across a semipermeable membrane from an area of lesser solute concentration to higher solute concentration.
Term
Osmolality
Definition
Osmotic pressure of a solution.
Term
Osmolarity
Definition
Concentration of solutions
Term
Colloid osmotic/ oncotic pressure
Definition
Pressure exerted by plasma proteins on the osmotic pressure of blood. Usually keep fluid in the intravascular compartment by pulling water from interstitial space back into capillaries.
Term
Diffusion
Definition
Movement of particles from higher concentration to a lower concentration based on osmolality. Affected by molecule size, concentration and temperature of solution.
Term
FIltration
Definition
Water and substances move across membrane in response to osmolality, moving from high to low pressure. Demonstrated in capillary beds by hydrostatic pressure. As in CHF with increased pressure in the intravascular space, water moves back into the interstitial area and causes edema.
Term
Normal fluid intake
Definition
2000-2500 +/- 200ml
Term
Osmoreceptors
Definition
monitor the serum osmotic pressure and stimulate the hypothalamus when osmolality increases.
Term
ADH
Definition
Stored in the posterior pituitary and released when changes in blood osmolarity occur. Works directly on the collecting ducts and renal tubules to reabsorb water.
Term
RAAS
Definition
overall effect is Na and H2O retention with goals of restoring blood volume.
Term
ANP
Definition
Responds to stretching of the heart and hypovolemia. Causes Na loss and inhibits thirst mechanism.
Term
Fluid outputs
Definition
Kidneys/ Urine: 1200-1600
Skin: 500-600
Lungs: 300-500
Poop: 200
Term
Carbonic Acid and Bicarbonate buffer system
Definition
CO2 + H2O <--> H2CO3 <--> H + HCO3. The first buffer system to react to change in pH of the ECF.
Term
PaCO2
Definition
35-45 mmHg
Term
PaO2
Definition
80-100 mm Hg < 60 is really bad
Term
Amount of plasma filtered through kidneys each day
Definition
180L/ day
Term
Fluid Volume Excess findings
Definition
weight gain, edema, hypertension, polyuria, neck vein distension, increased blood and venous pressure, crackles in lungs, confusion.

Decreased hematocrit < 38% and BUN levels < 10mg/100mL or hemodilution.
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