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ATI-MedSurge-Fluid

ATI-MedSurge-FLUIDS-Electrolyte, Acid-Base

QuestionAnswer
Potassium of 3.0 mEq/L - expected assessment Orthostatic hypotention
Dehydrated pt. begins to appear confused / lethargic - priority nursing action report the findings to primary care provider
Hyponatremia - sodium sodium serum -< 135 mEq/L
Hypernatremia - sodium sodium serum -> 145 mEq/L
Hyponatremia - osmolarity serum osmolarity -< 270 mOsm/L
Hypernatremia - osmolarity serum osmolarity -> 300 mOsm/L
serum sodium 155 mEq/L - good PO isotonic - 1000 mL 0.9% saline hypotonic - 1000 mL 5% dextrose w/H2O hypotonic - 1000 mL 5% dextrose w/045% saline
serum sodium 155 mEq/L - bad PO hypertonic - 1000 mL 3% saline
2+ pitting ankle edema - serum assessments increased serum: hematocrit, osmolarity (>300 mOsm/L), urine specific gravity, sodium
Prolonged PR interval and widened QRS complex - due to... Hyperkalemia
Magnesium - Rich Foods Spinach Halibut Tofu Broccoli Brown Rice Scallop Pumpkin seeds Beet greens Buckwheat
Excessive fluid loss - Interventions - administer prescribed IV fluids - increase fluids - pt. to stand slowly - weigh pt. each morning
ABGs - Metabolic alkalosis pH > 7.45
ABGs - Metabolic acidosis pH < 7.45
Dehydrated pt. - receiving IV fluids - s/s Fluid Overload bounding peripheral pulses
Venous insufficiency lower extremities - pt. teaching put feet up when sitting
Elastic stockings put on upon awakening and before getting out of bed in the morning, seam on the OUTSIDE
Pt. teaching for Post-OP client at risk for developing respiratory acidosis use incentive spirometer to promote adequate gas exchange
hypercalcemia - nursing priority assessment assess cardiac rhythm due to risk of cardiac dysrhythmias
Calcium - High Foods green beans, broccoli
Hypercalcemia - nursing plan of action implement seizure precautions
Calcium - administration PO or IV, not IM
Hypokalemia due to Furosemide (Lasix) - prepare to administer Potassium Sparing Diuretic
Potassium - administration via IV solution at 10 mEq/L ***NEVER IV BOLUS***
Hyperkalemia - IV intervention administer high dextrose (D50W) & regular insulin IV to decrease serum potassium level
Hypomagnesemia - expected finding hyperactive deep tendon reflexes decreased bowel sounds shallow respiration increased BP
Hypomagnesemia - serum level < 1.3 mg/dL
Hypokalemia - IV intervention normal saline w/ 40 mEq/L K+ at 100 mL/hr
Lactated Ringer's solution - for vomiting will not provide adequate K+ replacment
PaCO2 in respiratory alkalosis is... decreased
Isotonic dehydration causes a loss of? water only
Created by: fluency