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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
Created by: SouthernBelle