5.5 Fluids and Electrolytes Flashcards

(33 cards)

1
Q

___% of the adult body is water

A

60%

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2
Q

__% of the intracellular fluid is water

A

67%

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3
Q

__% of the Interstitial fluid is water

A

25%

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4
Q

__% of plasma is water

A

8%

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5
Q

Body functions that cause fluid loss include…

A

Bleeding
Diarrhea
Fever
Vomiting

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6
Q

When the quantity of fluid gained exceeds fluid loss

A

Edema

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7
Q

When the quantity of fluid lost exceeds fluid gained

A

Dehydration

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8
Q

Dehydration leads to…

A

Disturbance in balance between fluid in ECF and ICF compartments
Imbalance of electrolyte [ ]

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9
Q

Signs and symptoms of dehydration can either be…

A

Mild
Moderate
Severe

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10
Q

The 3 categories of IV solutions are…

A

Colloids
Crystalloids
Blood Products

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11
Q

5 examples of crystalloids include…

A

Normal Saline
Ringer’s Lactate
D5W
Plasma Lyte

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12
Q

Crystalloids function to…

A

Water and Na+ to maintain osmotic gradient between extra & intravascular compartments

Do not expand plasma fluid well – requires large initial quantities

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13
Q

Indications for crystalloids include…

A

maintenance flds, replace insensible loss, manage specific fld & electrolyte disturbance

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14
Q

Adverse effects of crystalloids include…

A

leaks out of plasma and into tissues causing peripheral and pulmonary edema

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15
Q

NaCl is used for…

A

used dependent on urgency of fluid replacement and Na+ loss

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16
Q

0.9% Normal Saline is (isotonic, hypotonic, hypertonic)?

17
Q

0.45% Normal saline is (isotonic, hypotonic, hypertonic)?

18
Q

3% normal saline is (isotonic, hypotonic, hypertonic)?

19
Q

Examples of colloids include…

A

Dextran, Albumin, Pentaspan

20
Q

Colloids function to…

A

Increase colloid oncotic pressure

Move fluid from interstitial to plasma compartment

21
Q

Indications for colloids include…

A

superior plasma volume expander

22
Q

Contraindications for colloids include…

A

HF, anemia, hypervolemia

23
Q

Adverse effects of colloids include…

A

can alter coag times, decrease O2 carrying capacity

24
Q

Blood products function to…

A

O2 carrying resuscitation fluids
Increases plasma volume
Improves tissue oxygenation
Natural
Expensive
Increase Colloid osmotic pressure and Plasma Volume

25
Indications for blood products function to...
Replace blood loss and clotting factors. To increase oxygen carrying capacity
26
Side effects of blood products include...
transfusion reaction, anaphylaxis, transmission of pathogens
27
Examples of blood products include...
Whole Blood Packed Red Blood Cells: increase O2 carrying capacity without cardiac overload Fresh Frozen Plasma: increase clotting factors levels Plasma Protein Fraction: manage acute blood loss
28
Symptoms of transufsion reaction include...
Febrile Chills Urticaria Dyspnea Hypotension/shock Abnormal bleeding Hemaglobinuria, oliguria, anuria Jaundice Chest pain, back pain, flank pain Apprehension – feeling of uneasiness
29
The most abundant electrolye is...
K+ potassium
30
Potassium levels are maintained by which gland hormone?
Adrenal gland - aldosterone
31
Potassium affects what bodily functions?
Affects muscle contraction, nerve impulse conduction, cardiac conduction, acid-base balance, etc.
32
Hyperkalemia can be caused by...
K+ supplements ACE inhibitors Renal failure Excessive cell loss K+ diuretics Trauma/Burns Metabolic acidosis hyperaldosteronism
33
Hypokalemia can be caused by...
Alkalosis Corticosteriods Crash diets Diarrhea Ketoacidosis Burns Loop and thiazide diuretics Vomiting Malabsorption Large amounts of licorice