Fluid and Electrolytes Flashcards

1
Q

what is a crystalloid solution (definition)

A

solutions containing fluid and electrolytes that are normally found in the body and they do not contain protein

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2
Q

are crystalloids better at treating dehydration or expanding plasma volume?

A

dehydration

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3
Q

examples of crystalloids need to know

A

normal saline, 3.3% dextrose and 0.3% NS, hypertonic saline, LR, D5W, D5W in 0.45 NS

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4
Q

what are colloids (definition)

A

protein substances that increase colloid oncotic pressure

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5
Q

examples of colloids need to know

A

albumin 5% and 25%, dextran 40 or 70, hetastarch

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6
Q

what is albumin

A

natural protein that is normally produced by the liver

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7
Q

what is the colloid oncotic pressure mainly

A

albumin

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8
Q

what are blood products (definition)

A

only class of fluids that are able to carry oxygen

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9
Q

what do blood products increase in the body

A

colloid osmotic pressure and plasma volume

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10
Q

examples of blood products need to know

A

cryoprecipitate and plasma protein factors, fresh frozen plasma, packed red blood cells, whole blood

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11
Q

examples of electrolytes need to know

A

sodium cations and potassium cations,

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12
Q

what is the most abundantly positively charged electrolyte in cells

A

potassium

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13
Q

does imparted kidney function lead to higher or lower serum levels of potassium?

A

higher, possibly causing toxicity

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14
Q

normal potassium value

A

3.5-5.5

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15
Q

what happens when a person with hypokalemia also has digoxin therapy and what does it cause?

A

it causes digoxin toxicity and it results in ventricular dysrhythmias

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16
Q

what are some things that potassium is responsible for?

A

muscle contraction, trasmission of nerve impulses, regulation of heart beat

17
Q

what are the substances given to someone who has severe hyperkalemia

A

IV sodium bicarbonate and sodium polystyrene sulphonate or hemodialysis

18
Q

what is the most abundant positively charged electrolyte outside of cells

A

sodium

19
Q

what are normal sodium values

A

135-145

20
Q

what are some things sodium is responsible for?

A

control of water distribution, fluid and electrolyte balance

21
Q

what is mild hyponatrimia treated with?

A

oral sodium chloride

22
Q

what is severe hyponatremia treated with?

A

IV NS or LR solution