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Fluid & electrolytes

final patho

TermDefinition
Intracellular inside cell
Extracellular outside of cell but in compartments
Interstitial in between cell and compartments
Hydrostatic pressure Force of fluid pressure in blood
Hydrostatic pressure does what with water? Pushes
Osmotic pressure Pressure by solutes in solution
Osmotic pressure does what with water? Pulls
Oncotic pressure Colloid pressure; due to albumin in blood
Osmolality concentration of active particle solutes
Osmolarity number of osmoles of solute per liter of solution
Hyperosmotic If osmolality is greater than reference solution
Hypo-osmotic If osmolality is less than reference solution
isosmotic osmolality identical to reference solution
Tonicity number of solutes in a solution compared to blood stream
Isotonic same tonicity as blood; does not cause fluid shifts or changes in cell size
Hypotonic fewer particles in blood' does not cause fluid shift or changes in cell size
Hypertonic more particles than blood
osmoreceptors located in hypothalamus and stimulated by increased plasma concentration; initiates thirst mechanism and ADH release
ADH (vasopressins) synthesized by hypothalamus and released form posterior pituitary; stimulated kidney nephron to reabsorb more water
Natriuresis excretion of large amounts of sodium and water
Edema excess fluid in compartments (swelling)
Primary causes of edema elevated hydrostatic pressure, decreased osmotic forces in blood, liver failure, protein malnutrition
Hypovolemia dehydration
Hypervolemia over hydrated
Sodium range 135-145
Hyponatremia Low sodium
Hyponatremia s/s Headache, confusion, coma
Hyponatremia causes excess water intake and diuretics
Hypernatremia high sodium
Hypernatremia s/s lethargy, irritable, seizures, weakness
Hypernatremia causes excessive salt intake
Chloride range 97-107
Hypochloremia low chloride
Hypochloremia s/s hypotension, shallow breathing
Hypochloremia causes respiratory acidosis, metabolic alkalosis
Hyperchloremia high chloride
Hyperchloremia s/s rapid breathing, tachypnea, hypertension
Hyperchloremia causes metabolic acidosis, kidney failure
Potassium range 3.5-5.1
Hypokalemia low potassium
Hypokalemia s/s thready pulse, lethargy
Hypokalemia causes diuretics, iv insulin
Hyperkalemia high potassium
Hyperkalemia s/s cardiac arrythmia, cramping, diarrhea
Hyperkalemia causes kidney disfunction, excess potassium intake and ACE inhibitors
Magnesium range 1.5-2.4
Hypomagnesemia low magnesium
Hypomagnesemia s/s nausea, vomiting, leg cramps
Hypomagnesemia causes under nutrition, long term alcohol use
Hypermagnesemia high magnesium
Hypermagnesemia s/s bradycardia, asystole
Hypermagnesemia causes kidney disease, excess magnesium intake
Calcium range 8.7-10
Hypocalcemia low calcium
Hypocalcemia s/s numbness, tingling
Hypocalcemia causes use of diuretics, removal of parathyroid gland
Hypercalcemia high calcium
Hypercalcemia s/s vomiting, constipation, thirst
Hypercalcemia causes overactive parathyroid gland, cancer
Phosphorus range 2.5-4.5
Hypophosphatemia low phosphate
Hypophosphatemia s/s respiratory insufficiency, bone pain
Hypophosphatemia causes Cushing's syndrome, starvation, hyperparathyroidism
Hyperphosphatemia high phosphate
Hyperphosphatemia s/s hyperreflexia, delirium, seizures, hypotension
Hyperphosphatemia causes kidney failure, metabolic/respiratory acidosis
potassium= heart
Sodium= brain (seizures)
Serum potassium is always higher where? inside cell
Serum sodium is always higher where? outside cell
NEVER IV PUSH WHAT = DEATH POTASSIUM
EKG T-wave tall high K+
EKG T-wave short low K+
Best way to heat core of body quickly Heated oxygen
When calcium rises what happens to phosphorus goes down
Positive Chvostek and Trousseau Hypocalcemia (low calcium)
When magnesium is high reflexes are? low
When magnesium is low what are you at risk for? heart arrythmias
Tachycardia above 100 bpm
Bradycardia below 60 bpm
Created by: Anna91715
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