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Fluid Bal- Electro.
Human Needs- Test 1
| Question | Answer |
|---|---|
| Major Criteria: Building a Curriculum | continuity, sequence, and integration |
| Continuity | reiteration of the same concepts to be learned over time. |
| Components of building this curriculum | complexity of care, client, roles, human needs, and nursing process |
| Complexity of Care | provides continuity of learning throughout time in nursing school, through prenursing pre reqs and foundation concepts. |
| Client Organizer | sequence learning and continuity experience throughout nursing school. For ex) from semester to semester moves ind.-> families and groups-> community with an empasis of biopsycosocial- spiritual needs. |
| Roles | a set of expectations about behaviors, status, customary functions, standard practice. ( communicator, consumer of research and info., manager. |
| Water | 60% in our body where in infants there is 70% |
| Lose electrolytes by: | vomitting, diarrhea |
| If we lose morse than 20% of body fluids | fatality |
| ICF | inside the cell |
| ECF | outside cell- |
| Intravascular | within the vessel |
| glucose | nonelectrolyte- doesnt dissolve in solutions |
| electrolytes | dissolve in water and carry a charge (anion or cation) |
| Na+ | interstitual |
| K+ | intracellular |
| Osmotic Presure | force that drives osmosis |
| Water in body comes from: | oral liquids, water in food and water formed by oxidation in food |
| hypothalmus | drives your thirst ( your fluid replacement is unconscious) |
| Obligatory | loss of water through sweating |
| GI tract | water and fluid absorbed |
| Kidneys | role in regulation of fluids and electrolytes |
| Homeostasis | maintained by adjusting the oral intake |
| Output | urine, feces, vomitus, NG tube ( Nasogastric tube), JP tube ( Jackson Pratt, chest tube |
| Most accurate way to measure intake/output: | Weigh daily |
| ADH | secreted from the posterior puituitary gland/ adrenal cortex |
| Diaphoresis | profuse sweating |
| Osmolarity/Osmality | both measure the conc. of the solution |
| hydrostatic pressure | blood pressing against the vessel wall |
| Fluid Output | Kidneys, Skin, Lungs, and GI Tract |
| 1st spacing | normal dist. of fluid |
| 2nd spacing | abn. dist/ or accumulation of fluid (edema) |
| 3rd spacing | fluid is trapped (ascites) |
| Measure the goerth | Ascites ( intaperitoneal of fluids) |
| Hypovolemia | loss of fluids from vomitting, diarrhea, gastric suction, decr. water intake, incr. temp, loss of BLOOD, ( low bp and hight pulse) loss of Na+ |
| Postural Hypotension | from supine to standing up ( decr in 10 mmHg) |
| Skin | ECF deficit ( assess for dry skin, poor skin turgor, dry tongue, decr. tearing/ salivating, depressed fontanels in infants*** |
| GI Tract | anorexia, constipation |
| CNS | irritablitity/ restless ( delirium, disorientation) TREATMENT: IV isotonic/ hypotonic dextrose |
Created by:
baylorchic
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