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Fluid & Electrolytes Matching
>>> causes of FVE (10)
renal failure, heart failure, excess fluid intake (without electrolytes), high corticosteroids, high aldosterone, plain water enema, NG irrigations, excess hypotonic IV fluids, SIADH, inappropriately prepared formula (dilute formula)
respiratory alkalosis assessment (7)
VS, ABGs, RR/depth, LOC/anxiety, neuro checks, injury potential, I&O
FVD potassium
normal to high (is intracellular, if enough cell death --or sodium levels -- could be high)
renal buffer system: time and effectiveness
works w/in hours/days, more efficient than respiratory can go for longer periods of time
normal potassium
3.5-5 mEq/L
alkaline environment
hard for cells to grow
metabolic acidosis CV signs (4)
dramatic affects: hypotension, dysrhythmias, peripheral vasodilation, warm flushed skin (from dilation, leaking of capillaries)
FVE, BUN
low (hemodilution)
respiratory acidosis CNS signs (6)
HA, seizures, altered LOC, papilledema, twitching/tremors, drowsy --> coma
respiratory acidosis assessment (8)
VS, ABGs, RR/depth, apical pulse, LOC, EKG, skin color/nail beds/mucous membranes, I&O
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