click below
click below
Normal Size Small Size show me how
F1E1
Question | Answer |
---|---|
Fluid Volume Excess: too much fluid in the _______. | Vascular space |
what can cause hypervolemia? | heart failure, renal failure, use of alka-selzer, fleet enemas, IVF with Na |
Where is aldosterone found? | adrenal glands |
aldosterone causes the retention of | sodium and water |
What are two dx that result from too much aldosterone? | Cushing's disease and hyperaldosteronism |
what is another name for hyperaldosteronism? | Conn's syndrome |
What disease is caused by too little aldosterone? | Addison's disease |
ANP is found where? | muscle of heart |
ANP is opposite of | aldosterone |
ADH causes retention of | water |
In SIADH, urine is _________, while blood is _________. | concentrated; dilute |
In DI, urine is _______, while blood is _______. | dilute; concentrated |
concentrated make's numbers go | up |
diluted make's numbers go | down |
ADH is found in the | pituitary gland |
If head injury-think | ADH problems |
Another name for ADH is | Vassopression (pitressin) |
DDAVP is given | intranasally |
normal CVP is | 2-6 mmHg |
CVP measures | fluid |
where would you first hear lung congestion w/FVE? | lower, posteriorly |
With fluid retention, think ______ | heart problems first |
K sparing diuretic is | aldactone |
bed rest can induce _____ for the patient with FVE | diuresis |
IV fluids should be given slowly to ____ and the ______. | young; elderly |
number one intervention for patient on bed rest? | increase fluids to prevent clots, kidney stones, constipation. |
hypovolemia could be seen in patients with _____ and _____. | burns and ascites |
for mild fluid deficit, give ____ | PO fluids |
for severe fluid deficit, give ____ | IV fluids |
examples of isotonic fluids: | LR, 0.9% NS, D5W, D51/4NS |
main solution used for blood administration? | normal saline |
Isotonic solutions are used for patients with: | burns; vomiting; nausea; sweating |
Isotonic solutions should not be used in patients with: | HTN, cardiac disease, kidney disease |
Magnesium and Calcium act like | Sedatives |
magnesium is excreted by the _____ but can also be lost by the ______. | kidney's; GI tract |
Causes of hyperMg: | renal failure, antacids |
Mag causes | vasodilation |
Antidote for Mg toxicity? | calcium gluconate |
Hypercalcemia is caused by: | thiazides, too much PTH, or immobilization |
If someone has hypercalcemia, their bones will be _____, and they may develop _____ _____. | brittle; kidney stones |
Ca has an inverse relationship with: | phosphorus |
Most common patient with hypomag: | alcoholic |
+Chvostek's and +Trousseau's indicate: | hypocalcemia |
before and after giving Mg, nurse should check: | kidney function |
When giving Iv Ca-patient should be placed on______. | heart monitor |
which IV solution can cause hyponatremia? | D5W |
If patient has hypocalcemia, and has neuro problems, they should receive | hypertonic IV fluids |
Sodium and _______ have an inverse relationship. | potassium |