CH 4 - Fluid Electrolyte Balance (113) Flashcards

(82 cards)

1
Q

Fluid and electrolyte balance is a ________ process that is crucial for

A

dynamic, life and homeostasis.

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2
Q

normal pH range

A

7.35 to 7.45

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3
Q

60% of weight - typical adult consists of

A

fluid

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4
Q

fluid is made up of

A

water and electrolytes

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5
Q

Factors that influence the amount of body fluid are

A

age, gender, and body fat.

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6
Q

younger people have a higher percentage of

A

body fluid than older people,

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7
Q

men have proportionately more _____ than women

A

body fluid

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8
Q

obese have less fluid than those who are thin because

A

fat cells contain little water

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9
Q

Body fluid is located in

A

two fluid compartments: ICS & ECS

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10
Q

intracellular space (ICS)

A

fluid inside the cells)

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11
Q

extracellular space (ECS)

A

fluid outside the cells).

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12
Q

Approximately two thirds of body fluid is intracellular fluid (ICF) and is located primarily in

A

the skeletal muscle mass;

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13
Q

ECF compartment is further divided into (3)

A

intravascular, interstitial, transcellular fluid spaces

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14
Q

one third of ______ is in the extracellular fluid (ECF).

A

Body fluid

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15
Q

intravascular space (IVS)

A

fluid within the blood vessels
AKA PLASMA

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16
Q

Plasma is made up of

A

water, along with molecules, electrolytes, and proteins, minus blood cells and platelets.

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17
Q

__ L of the average __ L of blood volume is made up of plasma, which has a___ __ ___

A

3.5
6
straw-colored appearance.

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18
Q

. SO WHICH PATIENTS WOULD YOU EXPECT TO DEHYDRATE MORE QUICKLY

A

PREEMIES AND NEWBORNS
THE ELDERLY ESPECIALLY ELDERLY, OBESE WOMEN!

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19
Q

PREEMIES AND NEWBORNS (CAN ALSO

A

OVER HYDRATE QUICKLY)

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20
Q

EXTRACELLULAR FLUID
(OUTSIDE THE CELLS)
* TRANSPORTS WHAT

A

NUTRIENTS / WASTES

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21
Q

_________-TO THE CELL AND CARRIES WASTE PRODUCTS AWAY FROM THE CELLS BY MEANS OF THE CAPILLARY BED

A

TO THE CELL AND CARRIES WASTE PRODUCTS AWAY FROM THE CELLS BY MEANS OF THE CAPILLARY BED

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22
Q

_________TO THE CELL AND CARRIES _______ PRODUCTS AWAY FROM THE CELLS BY MEANS OF THE ________

A

NUTRIENTS
WASTES
CAPILLARY BED

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23
Q

INTERSTITIAL FLUID

A

SURROUNDS EACH CELL OF THE BODY, EVEN BONE CELLS

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24
Q

INTRAVASCULAR FLUID

A

SURROUNDSTHECELLS OF THE BLOOD – MOST OF THE BLOOD VOLUME

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25
WHICH FLUID MAKES UP MOST OF THE BLOOD VOLUME
INTRAVASCULAR FLUID
26
TRANSCELLULAR FLUID ENCLOSED BY
ENDOTHELIAL MEMBRANE
27
TRANSCELLULAR FLUID INCLUDES
CEREBROSPINAL * PERICARDIAL * PANCREATIC * PLEURAL * INTRAOCULAR * BILIARY * PERITONEAL * SYNOVIAL FLUIDS * BOWEL MUCUS
28
TRANSCELLULAR FLUID GENERALLY NOT SUBJECTED TO
GAINS AND LOSSES
29
THIRD SPACE SYNDROME
FLUID SHIFTS FROM THE VASCULAR SPACE INTO AN AREA WHERE IT IS NOT READILY ACCESSIBLE AS EXTRACELLULAR FLUID
30
EXS OF THIRD SPACING
* EXAMPLES: * ASCITES * HYDROCEPHALUS * PLEURAL EFFUSIONS * PERICARDIAL TRANSCELLULAR EFFUSIONS
31
HYDROSTATIC PRESSURE
FORCE OF FLUID PRESSURE IN BLOODSTREAM
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OSMOTIC PRESSURE
PRESSUREBYSOLUTESINSOLUTION
33
ONCOTIC PRESSURE
* “COLLOID PRESSURE” * PRESSURE DUE TO ALBUMIN IN BLOOD
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OSMOLALITY
* CONCENTRATION OF SOLUTES/KG SOLUTION
35
* OSMOLARITY
* NUMBER OF OSMOLES OF SOLUTE PER LITER OF SOLUTION
36
HYDROSTATIC PRESSURE SYMBOLIZES
THE Pushing outward force of hydrostatic pressure, pushing water from ECF (capillary) into ICF
37
Osmotic pressure symbolizes
Pulling force of osmotic (oncotic) pressure, created by sollutes (albumin), which favors fluid movement from the ICF into the ECF (capillary)
38
MOVEMENT OF FLUID THAT OCCURS AT CAPILLARY BEDS IS THE OUTCOME OF 2 MAJOR OPPOSING FORCES
* HYDROSTATIC PRESSURE * OSMOTIC PRESSURE
39
STARLING LAW OF CAPILLARIES EXPLAINS THE
MOVEMENT OF FLUID THAT OCCURS AT CAPILLARY BEDS
40
LOWER ALBUMIN =
REDUCED OSMOTIC PRESSURE
41
INCREASED BLOOD VOLUME =
INCREASED HYDROSTATIC PRESSURE
42
NORMAL PLASMA OSMOLALITY ~
290 MOSM
43
MOSM MEANS WHAT
?
44
OSMORECEPTORS * LOCATED IN
HYPOTHALAMUS
45
OSMORECEPTORS * LOCATED IN HYPOTHALAMUS AND STIMULATED BY
BY INCREASED PLASMA CONCENTRATION
46
OSMORECEPTORS * LOCATED IN HYPOTHALAMUS AND STIMULATED BY INCREASED PLASMA CONCENTRATION * INITIATE _______ AND ______
THIRST MECHANISM ANTIDIURETIC HORMONE (ADH) RELEASE
47
OSMORECEPTORS * LOCATED IN HYPOTHALAMUS AND STIMULATED BY INCREASED PLASMA CONCENTRATION * INITIATE _______ AND ______
THIRST MECHANISM ANTIDIURETIC HORMONE (ADH) RELEASE
48
OSMORECEPTORS * LOCATED IN HYPOTHALAMUS AND STIMULATED BY INCREASED PLASMA CONCENTRATION * INITIATE _______ AND ______
THIRST MECHANISM ANTIDIURETIC HORMONE (ADH) RELEASE
49
ADH (ALSO KNOWN AS
VASOPRESSIN)
50
ADH (ALSO KNOWN AS VASOPRESSIN) * SYNTHESIZED BY
HYPOTHALAMUS
51
ADH (ALSO KNOWN AS VASOPRESSIN) * SYNTHESIZED BY HYPOTHALAMUS AND RELEASED FROM
POSTERIOR PITUITARY
52
ADH (ALSO KNOWN AS VASOPRESSIN) * STIMULATES WHAT IN KIDNEYS
KIDNEY NEPHRON TO REABSORB MORE WATER
53
RENIN-ANGIOTENSIN- ALDOSTERONE SYSTEM AKA
RAAS
54
RENIN-ANGIOTENSIN- ALDOSTERONE SYSTEM (RAAS) 4 STEPS
1. RENIN RELEASED FROM KIDNEYS 2. ANGIOTENSIN I CONVERTED TO ANGIOTENSIN II 3. ANGIOTENSIN II (VASOCONSTRICTOR) 4. ALDOSTERONE
55
What happens when Renin is released from the kidneys?
CONVERTS ANGIOTENSINOGEN (FROM LIVER) TO ANGIOTENSIN I
56
How is angiotensin one converted to angiotensin two and where does it happen?
IN LUNGS BY ANGIOTENSIN-CONVERTING ENZYME (ACE)
57
What does angiotensin two (vasoconstrictor) activate
ACTIVATES ADRENAL CORTEX TO RELEASE ALDOSTERONE
58
What does aldosterone do?
INCREASES SODIUM AND WATER REABSORPTION AND POTASSIUM SECRETION BY KIDNEYS
59
What is the RAAS net EFFect?
Increases blood volume which leads to increasing blood pressure
60
What activates, the RAAS system
When there is lower circulation or blood pressure sensed by the kidneys
61
The juxtaglomerular cells in the kidneys detect what
the drop in blood pressure..
62
The juxtaglomerular cells respond by
secreting the enzyme renin
63
Which organ secretes renin
Kidneys
64
Which organ secretes angiotensin I
Liver
65
Where and how is angiotensin I converted to angiotensin II
In lungs by ACE
66
What gland does angiotensin II stimulate
Adrenal gland
67
What does aldosterone do
Increases sodium / water REABSORPTION into bloodstream and causes potassium to be secretes in urine
68
How does angiotensin II affects the arteries
Stimulates arterial vasoconstriction which raises bp
69
NATRIURESIS
EXCRETION OF LARGE AMOUNTS OF SODIUM AND WATER
70
THREE PEPTIDES PROMOTE NATRIURESIS
ATRIAL NATRIURETIC PEPTIDE (ANP) BRAIN NATRIURETIC PEPTIDE (BNP) C-TYPE NATRIURETIC PEPTIDE (CNP)
71
ATRIAL NATRIURETIC PEPTIDE (ANP)
ATRIAL CELLS WHEN ATRIA STRETCHED
72
BRAIN NATRIURETIC PEPTIDE (BNP)
HEART VENTRICLES AND TO LESSER EXTENT, THE BRAIN
73
C-TYPE NATRIURETIC PEPTIDE (CNP)
ENDOTHELIAL CELLS OF ARTERIES AND VENTRICULAR CELLS
74
ANP
ATRIAL NATRIURETIC PEPTIDE
75
BNP
BRAIN NATRIURETIC PEPTIDE
76
CNP
C-TYPE NATRIURETIC PEPTIDE
77
ASSESSMENT OF FLUID STATUS - 5 ways
* DAILY WEIGHT * 24-HOUR I & O (INPUT AND OUTPUT) * VITAL SIGNS SUCH AS HEART RATE AND BLOOD PRESSURE * ORTHOSTATIC HYPOTENSION MAY DEVELOP IN DEHYDRATION * ASSESS STATUS OF MUCOUS MEMBRANES, SKIN TURGOR, URINE OUTPUT, EDEMA
78
How should I & O be recorded
RECORD IN ML
79
1 OUNCE OF FLUID EQUALS __ ML
30
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SEQUESTERED FLUIDS
FLUID ACCUMULATES IN BODY CAVITIES NORMALLY FREE OF FLUIDS
81
SEQUESTERED FLUIDS examples
THIRD-SPACE ACCUMULATION OR THIRD-SPACING
82
What areas can third spacing happen
PERICARDIAL SAC, PERITONEAL CAVITY, AND PLEURAL SPACE