Exam 3 Flashcards

(42 cards)

1
Q

What is hypovolemia?

A

Fluid volume deficit

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2
Q

What are symptoms of hypovolemia?

A

-Thirst
-Dry mucous membranes
-Confusion, restlessness
-Cold/clammy skin
-Postural hypotension, tachycardia
-Decreased/concentrated urine output
-Weakness
-Weight loss
-Sunken eyeballs

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3
Q

What are symptoms of hypervolemia?

A

-Bounding pulse
-Hypertension (HTN)
-Confusion
-Headache
-Dyspnea, crackles, pulmonary edema
-Weight gain
-Pitting edema
-Polyuria
-Difficulty concentrating/irritability

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4
Q

What are the different acid-base imbalances?

A

-Respiratory acidosis (increased PaCO2)
-Metabolic acidosis (decreased HCO3)
-Respiratory alkalosis (decreased PaCO2)
-Metabolic alkalosis (increased HCO3)

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5
Q

What are symptoms of respiratory acidosis?

A

-Warm, flushed skin
-Seizures
-Hypoventilation
-Hypoxia

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6
Q

What are symptoms of respiratory alkalosis?

A

-Dizziness, lightheadedness
-Diarrhea, epigastric pain
-Numbness
-Hyperreflexia
-Hyperventilation (paper bag)

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7
Q

What are symptoms of metabolic acidosis?

A

-Cold, clammy skin
-Nausea, vomiting, diarrhea
-Muscle weakness
-Deep, rapid respirations

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8
Q

Whata re symptoms of metabolic alkalosis?

A

-Irritability, lethargy
-Anorexia
-Tremors, muscle cramps
-Seizures
-Hypoventilation

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9
Q

What are symptoms of hypernatremia?

A

-Thirst
-Change in LOC (confusion)
-Restlessness
-Seizures

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10
Q

What are symptoms of hyponatremia?

A

-Headache
-Difficulty concentrating/irritability
-Confusion
-Seizures
-Coma

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11
Q

What are symptoms od hyperkalemia?

A

-Muscle cramps/weakness
-Diarrhea/vomiting
-ECG changes (arrhythmias)
-Decreased reflexes (late)

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12
Q

What are symptoms of hypokalemia?

A

-Muscle cramps/weakness
-Soft/flabby muscles
-Decreased DTRs
-Constipation/paralytic ileus
-ECG changes (arrhythmias)
-Coma

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13
Q

What are the symptoms of hypercalcemia?

A

-Decreased bone density (bone pain/fractures)
-Depressed DTRs
-ECG changes (arrhythmias)
-Nephrolithiasis
-Seizures
-Coma

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14
Q

What are symptoms of hypocalcemia?

A

-ECG changes (arrhythmias)
-Spasms (laryngeal) and stridor
-Numbness (fingers, face, mouth, limbs)
-Tetany (+Chvostek’s, +Trousseau’s)
-Irritability

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15
Q

Whata re the symptoms of hypermagnesemia?

A

-Hypotension, bradycardia
-Facial flushing/warm skin
-Urinary retention
-Confusion
-Decreased DTRs

**LOW

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16
Q

What are symptoms of hypomagensemia

A

-Tetany, Hyperactive DTRs (+Chvostek’s, +Trousseau’s)
-HTN, tachycardia
-Paresthesia
-Muscle cramps/tremors
-Seizures

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17
Q

When is homeostasis seen?

A

-With changed in perfusion
-Gas exchange
-Mobility
-Cognition

18
Q

How much body weight is water in adults?

19
Q

What factors determine water content?

A

-Body mass
-Gender
-Age

20
Q

What is interstitial fluid?

A

Fluid in spaces between cells

21
Q

What is intravascular fluid?

A

Liquid part of blood – plasma

22
Q

What is transcellular fluid?

A

-Joint space fluid
-CSF
-Pleural fluid

23
Q

What are the hypotonic solutions?

24
Q

What are the isotonic solutions?

A

-D5W
-0.9% NaCl

25
What are the hypertonic solutions?
D10W 3% NaCl
26
What is the range for HCO3 (anion)
22-26
27
What is the range for Cl (anion)
98-106
28
What is the range for PO43 (anion)
3.0 - 4.5
29
What is the range for total Ca+ (cation)
9.0 - 10.5
30
What is the range for Ionized Ca+ (cation)
4.5 - 5.6
31
What is the range for Mg+ (cation)
1.3 - 2.1
32
What is the range for K+ (cation)
3.5 - 5.0
33
What is the range for Na+ (cation)
136 - 145
34
What is the range for BUN (kidneys)
10 - 20
35
What do isotonic solutions treat
-Fluid and Na+ loss -Diarrhea/vomiting -Surgery -Burns -GI fluid loss (NG tube suction) -Hypovolemia
36
How do iso solutions work?
Only expand the ECF (doesn't move into cell)
37
What does 3% NaCl treat?
Hypernatremia Head injuries
38
What does D10W treat
Parenteral nutrition (food replacement
39
How do hyper solutions work
draws water out of cells into ECF
40
What does 0.45% NaCl treat
hypernatremia
41
What does D5W treat? (hypotonically)
short term calorie replacement -NPO (water loss) pts
42
Why are hypo solutions not used as daily replacement
It depletes ECF and decreases BP