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Fundamentals Ch. 36
Fluid/Electrolyte and Acid/Base Balance
81
Nursing
Undergraduate 1
01/31/2010

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Term
solutes
Definition
solid substances dissolved in body fluids
Term
electrolytes
Definition
substances that develop an electrical charge when dissolved in water
Term
electolytes
Definition
sodium and potassium are examples of
Term
nonelectrolytes
Definition
glucose and urea are examples of
Term
nonelectrolytes
Definition
these do not conduct electricity
Term
mainting blood volume, reg. body temp, transport materials between cells, serve as an aqueous medium for cell metabolism, assist with digestion of food
Definition
body fluids perform several important functions
Term
ICF
Definition
fluid contained within cells
Term
extracellular
Definition
fluid outside cells
Term
interstitial, intravascular, transcellular
Definition
these are all examples of extracellular fluid
Term
water
Definition
this is the primary body fluid
Term
intravascular
Definition
plasma within blood is a ___________ fluid
Term
interstitial
Definition
this fluid lies in spaces of the body
Term
transcellular
Definition
this is fluid in between compartments
Term
transcellular fluid
Definition
csf, pleural, peritoneal and synovial fluid are all exmaples of
Term
active trasnport
Definition
movement of fluid and solutes requires energy
Term
passive transport
Definition
requires no energy
Term
osmosis
Definition
involves the movement of water across a membrane from an area of a less concentrated solution to an area of more concentrated solution
Term
crystalloids
Definition
solutes that readily dissolve
Term
colloids
Definition
larger molecules that do not readily dissolve
Term
osmolality
Definition
concentration of solutes in body fluid
Term
osmols
Definition
refers to the number of particles of solute per kilogram of water
Term
isotonic
Definition
fluis that is the same osmolality as blood is called
Term
hypotonic soln
Definition
solution that is of lower osmolality thatn blood
Term
into the cells
Definition
when a hypotonic soln is infused, where will the solution go, into the cells or out of the cells
Term
from the cells into the ECF
Definition
when a hypertonic solution is infused, where will the water go?
Term
diffusion
Definition
passive process by which molecules of a solute move through a cell membrane from high to low concentration
Term
size of molecule, concentration of the solution, temp of the solution
Definition
the rate of diffusion depends on what?
Term
filtration
Definition
movment of both water and smaller particles from an area of high pressure to low pressure
Term
hydrostatic pressure
Definition
force created by fluid within a closed system, responsible for the normal circulation of blood
Term
osmotic pressure
Definition
power of solution to draw water
Term
cations
Definition
electrolytes that carry a positive charge
Term
anions
Definition
electrolytes that carry a negative charge
Term
solutes
Definition
what moves in difusion?
Term
solute
Definition
what moves in active transport?
Term
low to high [C]
Definition
osmosis moves water from
Term
water and small particles
Definition
filtration moves what from high to low pressure?
Term
1500 ml
Definition
avg amount of urine per day
Term
650-900-ml
Definition
avg amount of fluid lost through skin per day?
Term
ADH
Definition
pressure sensors in the vascular sytem stimulate or inhibit the release of... from the pituitary
Term
ADH
Definition
this causes kidneys to retain fluid
Term
renin
Definition
when there is decreased perfusion of the kidneys, what do the glomeruli release?
Term
Renin
Definition
enxyme responsible for the chain of reactions that converts angiotensin to angiotensin II
Term
nephrons to retain water and sodium
Definition
Aniogtensin II acts on the ....to ...
Term
adrenal cortex
Definition
angiotensin II also directs the ....to release aldosterone
Term
aldosterone
Definition
promtes the resabpsriton of sodium and excretion of potassium in the distal tubules of the kidneys.
Term
influences cardiac regulation
Definition
thyroid hormone affects fluid volume how?
Term
inc in CO
Definition
increase in thyroid hormone causes
Term
ANF promotes sodium and water excretion from the kidneys and inhibits thirst
Definition
when atrial natriuretic fluid is released from the atrium of the heart what happens?
Term
sodium
Definition
major cation in the ECF
Term
NA
Definition
priimary function of this cation is to reg. fluid volume
Term
potassium
Definition
major cation in the ICF
Term
blood pressure, inc. salt sensitivity
Definition
moderate potassium deficiency is associated with an increase in what?
Term
CA
Definition
responsible for bone health
Term
MG
Definition
mineral used in more than 300 biochemical reactions in the body, most is in the ICF and bone.
Term
MG
Definition
you may find low levels of this cation in those who have a high alcohol intake
Term
P04
Definition
most abundant intracellular anion
Term
teeth and bones
Definition
most phosphate is found in the
Term
calcium
Definition
phosphate has an inverse relationship with what cation?
Term
bicarbonate HCO3
Definition
presnt in both ICF and ECF, regulated by the kidney
Term
acid
Definition
any compound that contains hydrogen ions
Term
base or alkali
Definition
compound that combines with hydrogen ions in solution
Term
weak acid and a weak base
Definition
buffers consists of
Term
buffer
Definition
keeps strong acids or bases from altering the pH
Term
alkalosis
Definition
if ph is above 7.45 then the person is in
Term
dry skin, nonelastic skin turgor, dec. urine output and blood pressure, rise in temp
Definition
symptoms of dehydration
Term
phosphate system
Definition
this buffer system helps to regulates acid base balance in the intracellular fluids
Term
remove carbon dioxide by rapid, deep breathing
Definition
when ph is too low, the lungs do what?
Term
conserve CO2 by shallow respirations
Definition
if PH is below 7.35, what do lunngs do to compensate
Term
bicarbonate
Definition
kidneys regulate the concentration of what buffer?
Term
conserve additional bicarbonate to neutralize acid
Definition
if ph is too acidic, what do kidneys do?
Term
135-145 meq/l
Definition
normal levels of sodium
Term
3.5-5 meq/l
Definition
normal levels of potassium
Term
8.5-10.5 meq/dl
Definition
calcium levels
Term
1.3-2.1 meq/l
Definition
Mg levels in body?
Term
95-105 meq/l
Definition
chloride levels in body?
Term
1.7-2.6 meq.l
Definition
phsophate levels in body?
Term
22-26 meq/l
Definition
bicarbonate levels in body?
Term
serum electrolytes, serum osmolality, urine osmolality, CBC, urinalysis, ABGs
Definition
what are the lab tests done to evaluate fluid, electrolytes, and acid-base status?
Term
serum osmolality
Definition
measures the solute concentration of the blood
Term
physical assessment, vital signs, daily wight, I/O, lab studies
Definition
what are the nursing assessments you want to make for fluid, electrolyte, or acid-case imbalance?
Term
dietary teching, oral electrolyte supplements, limitaing or facilitating oral fluid intake, parenteral replacement of fluids and/or electrolytes
Definition
what are some nursing interventions for fluid/electrolyte imbalance?
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