Nursing-fluids and electrolytes test 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Osmolality | measure of solute concentration, defined as the number of osmoles of solute per 1 L of solution.
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| Sources of Water | Oral, foods, from oxidation, parenteral fluids, enteral feedings
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| "Normal" water loss | skin, lungs, GI tract, kidneys, insensible loss
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| water loss from lungs | 300-400ml/day
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| water loss from GI tract | 100-200 ml/day
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| water loss from insensible loss | 600ml/day (evaporation)
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| Isotonic contraction (Def) | Na and water lost in isotonic proportions
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| Isotonic contraction causes | blood loss, vomiting, diarrhea, kidney disease, diuretics
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| Isotonic Contraction treatment | Isotonic solutions (0.9 NS, lactated ringers)
0.9 NS only fluids used in blood transfusion process
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| Hypertonic Contraction (def) | loss of water exceeds loss of sodium
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| Hypertonic contraction causes | excessive sweating, osmotic diuresis, concentrated feedings in infants, burns, CNS disorders
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| hypertonic contraction treatment | hypotonic fluids (1/4 NS, free water, D5W)
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| Hypotonic Contraction (def) | loss of sodium exceeds loss of water
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| Hypotonic contraction causes | excessive sodium loss through kidneys-diuretic therapy, chronic renal insufficiency, lack of aldosterone
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| Hypotonic contraction treatment | 0.9% NS if mild, Hypertonic solutions (3% NS) if severe
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| fluid volume deficit- monitor: | I & O, DAILY WEIGHTS (2.2lbs=1000ml fluid), skin turgor, increased UOP w/ normal specific gravity, VS, clear sensorium, labs
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Created by:
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