Fluid

Question 1

oliguria and value

Answer 1

Low urine output less than .5ml/kg/h

Question 2

Anuria and value

Answer 2

No urine output less than 50ml/day

Question 3

Water weight value

Answer 3

1 lt of water=1 kg=2.2 lbs

Question 4

How are electrolytes expressed blank per blank. why?

Answer 4

Milliequivalents (mEq) per liter. An equivalent is the amount of substance that will react with water.

Question 5

Anions and cations of both ECF and ICF

Answer 5

ECF- Cation-Na+
Anion-Cl-
ICE- Cation- K+
Anion- PO4-3

Question 6

Normal urine value

Answer 6

0.5-1.0ml/kg/hr

Question 7

how much water does an adult need?

Answer 7

200-300ml

Question 8

Urine rule of thumb

Answer 8

less than 30ml/hr is a problem

Question 9

ph that causes death

Answer 9

6.8 and 7.8

Question 10

Chloride level

Answer 10

97-107 mEq/L

Question 11

Potassium level

Answer 11

3.5-4.5mEq/L

Question 12

Calcium level

Answer 12

8.6-10.2 mg/dl

Question 13

phosphate level

Answer 13

2.4-4.4g/dl

Question 14

Ca+ high in blood and low

Answer 14

Para releases osteoblasts with calcitonin

low-para releases osteoblasts with PTH

Question 15

Plasma osmolality range

Answer 15

250-375

Question 16

What stimulates ADH and where does it act and do two places

Answer 16

low plasma protein the madula-(Na) and collecting ducts (H20)

Question 17

What releases ADH 4 2 start with h

Answer 17

Nausea, pain, hypoglycemia, hypoxia

Question 18

Causes fluid deficit 3

Answer 18

Diabetes insipidus, third spacing, shifts from plasma to interstitial area.

Question 19

Fluid excess causes 4 2 are related

Answer 19

Primary polydipsia, SIADH, cushings, long term use of corticosteroids.

Question 20

4 s/s for deficit

Answer 20

Drowsy, cold clammy hands, increased respirations, weak dizzy.

Question 21

4 s/s for excess

Answer 21

headache s3 dyspnea mm spasms.

Question 22

4s/s for both excess and deficit

Answer 22

Lethargy, confusion, seizers, coma

Question 23

lab findings for def, and excess

Answer 23

pretty much all goes up. pretty much all goes down

Question 24

respiratory Acidosis causes 6

Answer 24

drug overdose, pulm edema, chest trama, copd, airway obstrustion

Question 25

metabolic acidosis 6

Answer 25

diabetic ketoacidosis, salicylate od (salt), spesis, shock, renal fail, diarrhea.

Question 26

Causes res alk 6

Answer 26

hyperventilation, high alt, pulm emboli, hypoxia, fever, pregnancy

Question 27

Metabolic alk causes 3

Answer 27

loss of gastric juices, antacids, potassium wasting diuretics.

Question 28

Difference between Cl and NA

Answer 28

Cl cystic fibrosis causes exclusive loss of chloride

Question 29

Purpose of isotonic solutions

Answer 29

increase vascular volume

Question 30

3 isotonic solutions

Answer 30

0.9% lactated ringers and 5% dextrose(Special) D5W

Question 31

2 hypotonic solutions

Answer 31

5%dextrose D5W(Special) 0.45 NAcl half normal saline

Question 32

hypertonic solution 1 plus???

Answer 32

3 percent saline, dextrose 5 added to anything or dextrose 10 and up with water

Question 33

colloids you don’t know 2

Answer 33

dextran, hetastartch

Question 34

When is albumin CI 2

Answer 34

Heart fail and anemia

Question 35

3 colloid considerations

Answer 35

it decreases clotting, elevate HOB, Hold Ace for 24 hours before albumin.

Question 36

Normal saline 4 things you would use it for that you don’t know
2

Answer 36

mild hyponatremia, metabolic acidosis, hyper ca+ can cause hyperchloremia.

Question 37

when to use lactated ringers 3 things that go together and one other .

Answer 37

Burns, trauma, third spacing. Large gi or fistula drainage

Question 38

Don’t administer lactated ringers to 3

Answer 38

Lactic acidosis, ph greater than 7.5, liver fail

Question 39

5 percent dextrose 2 things to remember and one thing to use it for

Answer 39

dont use alone and not great for nutrition severe hypernatremia

Question 40

when to use 1/2 strength when not to

Answer 40

hypernatremia, avoid liver disease burns trauma