Fluid and Electrolytes
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| 1kg (2.2lbs) | 1 liter of fluid
🗑
|
||||
| Isotonic IV solutions | treatment of vascular system fluid deficit - prevent fluid shift btw compartments - ex. NS, LR, D5W
🗑
|
||||
| Hypotonic IV solutions | treatment of intracellular dehydration - shift fluid from ECF to ICF - ex. 1/2NS
🗑
|
||||
| Hypertonic IV soultions | used only when serum osmolality is critically low - shift fluid from ICF to ECF - ex. 10% dextrose, D5W1/2NS, (anything with dextrose)
🗑
|
||||
| Fluid Volume Deficit | hypovolemia-isotonic and dehydration, elevated Hct, spec. gravity and osmolarity, draw BUN, creatinine. administer fluids
🗑
|
||||
| Fluid Volume Overload | hypervolemia-isotonice, and overhydration-osmolar, sx: crackles, dyspnea, JVD, hemodilution, pitting edema. administer diuretics
🗑
|
||||
| Hypokalemia | Sx: muscle weakness, fatigue, N/V, dysrhythmias, flat T waves RF: GI loss, diuretics, aminoglycosides, decreased intake
🗑
|
||||
| Hyperkalemia | Sx: muscle crampsl weakness, paralysis, bradycardia, dysrhythmias, tall T waves. RF: tissue injury, k sparing diuretics, renal failure, adreanl insufficiency, increased intake
🗑
|
||||
| Hyponatremia | Sx: weakness, lethargy, confusion, seizures, coma. RF: GI loss, SIADH, adrenal insufficiency, diuretics, water intoxication, decreased intake. TX: admin IVF (hypertonic), seizure pre.
🗑
|
||||
| Hypernatremia | Sx: thirst, dry mucous membranes, restless, weak, ortho hypotension, muscle irritability, seizures, coma RF: water deficit, GI loss, DI, increased intake Tx: isotonic IVF, seizure pre
🗑
|
||||
| Hypocalcemia | Sx: tetany, crampsl paresthesias, dysrhythmias, Trousseau's/Chvostek's sign, seizures RF: hypoparathy, hypomg, RF, Vit D def, loop diuretics TX: calcium has inverse relationship with phosphorus
🗑
|
||||
| Hypercalcemia | Sx: de. DTRs, muscle weakness, dysrhythmias, confusion, anxiety, lethargy/coma RF: hyperparathy, malignant dx, immobilization, vit D excess, thiazide diuretics, lithium Tx: pt at increased risk of Fx
🗑
|
||||
| Hypomagnesemia | Sx: in. DTRs, tetany, cramps, dysrhythmias, Trousseau's/Chvostek's sign, agitation, confusion RF: alcoholism, pancreatitis, hypoCa, hypoK, insulin resistance, DKA Tx:seizure pre, swallow eval, IV Mg
🗑
|
||||
| Hypermagnesemia | Sx: de. DTRs, hypotension, drowsiness, bradycardia, bradypnea, coma, cardiac arrest RF: RF, excessive Mg therapy, adrenal insufficiency, laxative abuse Tx: IV calcium gluconate, temp pacemaker, mech vent
🗑
|
||||
| Hypophosphatemia | Sx: muscle weakness, de. DTRs, calciuria/renal stones, dysrhythmias, confusion, anxiety, lethargy/coma RF: alcoholism, chromic diarrhea, starvation, vit. D def.
🗑
|
||||
| Hyperphosphatemia | Sx: tetany, cramps, paresthesias, dysrhythmias, Trousseau's/Chvostek's sign, seizure RF: RF, chemo, in. vit. D/Phos Tx: aluminum hydroxide with meals
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
kmf06007
Popular Nursing sets