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F1E1
| Question | Answer |
|---|---|
| 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 |