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N112 - Fluid Imbalances

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Question
Answer
show An increase in ADH will cause the kidney to retain fluid and a decrease in ADH will cause the kidney to excrete fluid.  
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show Aldosterone causes the kidney to retain sodium & water.  
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How do fluid shifts occur?   show
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show Colloid osmotic pressure is the pulling force of albumin (protein) in the intravascular space.  
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What would be the result of low colloid osmotic pressure?   show
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How would colloid osmotic pressure decrease?   show
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What would happen to the blood volume if more water stayed in the interstitial space?   show
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What would an increase in hydrostatic pressure cause?   show
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show Damage to blood vessels causes proteins to leak into the interstitial space, the result is edema since the protein in the interstitial space attracts water.  
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How does inflammation, burns or allergic reactions effect edema?   show
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show Hypovolemia is sodium & water excess, occurs with heart failure. Heart failure reduces renal blood flow and causes retention of sodium & water.  
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show Weight gain, peripheral edema, distended neck & peripheral veins, bounding full pulse, polyuria, pulmonary edema, moist rales. Serum sodium levels may be normal or decreased due to dilution.  
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What is hypovolemia?   show
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What are causes of hypovolemia?   show
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What is the treatment for hypovolemia?   show
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show Indications of fluid volume deficiency may include decreased urine, output, drop in systolic BP, weak rapid pulse, dry mucous membranes, last stages include cold, clammy skin, olguria, stupor & coma.  
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What is third spacing?   show
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