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A River Runs Thru It
Fluid and Electrolytes/Digestion and Hydration
| Question | Answer |
|---|---|
| Insensible Water Loss | Body water lost through skin and lungs. |
| ANF | Atrial Natruretic Factor. Decreases blood volume. Increases sodium and water excretion |
| HTN, tachycardia, JVD, gallop, edema, crackles | clinical signs of HYPERVOLEMIA |
| Kayexelate | ion exchange resin used for hyperkalemia |
| Electrolyte imbalance associated with diarrhea and laxatives | hypokalemia |
| normal distribution of body fluids | First spacing |
| bulging fontanels | Hypervolemia sign in infants |
| Most accurate assessment for fluid balance | intake and output |
| loop diuretics | used to treat excess fluid, sodium, calcium, and potassium. |
| primary organ of fluid and electrolyte balance regulation | kidneys |
| Nursing Diagnosis useful in electrolyte imbalance | Risk for Injury |
| Third Spacing | movement of fluids into cavities |
| maintains oncotic pressure (colloid) | albumin, a plasma protein |
| major effect of Aldosterone | retention of Na+ and excretion of K+ |
| Chvostek's sign | Contraction of the muscles of the eye, mouth or nose upon percussion. Sign of tetany of hypocalcemia. |
| hydrostatic pressure | force of fluid against compartment walls. |
| IV solution to treat edema | hypertonic |
| "Pushes" fluids away | hydrostatic pressure |
| prolonged ST segment and QT interval | EKG signs of hypocalcemia |
| hypotonic IVs treat what condition? | dehydration |
| two signs of impending tetany | Chvostek's and Trousseau's |
| another name for second spacing | edema |
| three regulators of calcium levels | parathyroid hormone, vitamin D, calcitonin |
| Risk for Injury associated with hypocalcemia | seizures, tetany, laryngeal spasm |
| electrolyte imbalance that potentiates digoxin | hypokalemia |
| Poor skin turgor, wt loss, sunken fontanels, lethargy, tachycardia, tachypnea | fluid volume deficit (hypovolemia) |
| weight of one liter of water | 2.2 lbs, 1 kg |
| primary cation of ECF | sodium, Na+ |
| Three passive transports | diffusion, osmosis, filtration |
| major electrolyte imbalance in major trauma | hyperkalemia |
| major anion of ICF | PO4 3- |
| number of cc's in 1 lb of body water | 275cc |
| Protein starvation--effect on fluids/electrolytes | decreased oncotic pressure-->edema |
| Intervention to prevent renal calculi in hypercalcemia | force fluids |
| electrolyte imbalance associated with multiple blood transfusions | hypocalcemia |
| damage to parathyroids can lead to which imbalance? | hypocalcemia |
| primary cation of ECF | Chloride, Cl- |
| Two types of ECF | interstitial fluid, plasma |
| ELECTROLYTE imbalance associated with hypotonic IVs | hyponatremia |
| "pulls" water back | osmotic/oncotic pressure |