Mod 4 Fluid Elect Acid-base Flashcards

(94 cards)

1
Q
A

body fluids: water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Fluid inside the cells

A

Intracellular fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Fluid outside the cells

A

Extra cellular fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Inside the blood vessels

A

Intravascular fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Movement of water across a semi permeable membrane

A

Osmosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Water moves from an area of___water concentration to an area of___concentration

A

High to low

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What goes where___goes

A

Salt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

blood flows in the arterial end at a high pressure to bring in fresh nutrients and oxygen

Flows out the Venus end at a low pressure to get rid of waste products to rebalance the solution

A

Notes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Osmotic pressure of two solution separated by a semipermeable membrane

Higher concentration solution on one side compared to the other

A

Tonicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

equal solute concentration, causes no fluid shift

A

Isotonic

Ex NS or lactated ringers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

lower solute, concentrations, causing water to move into the cell

Higher concentration within the cell

A

Hypotonic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

higher solute, concentrations, causing water to shift out of the cell

Higher concentration outside of the cell

A

hypertonic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
A

Hypertonic

Water out of cell

5% dextrose in NS or 3% saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
A

hypotonic

Water into the cell

45% saline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

triggered by decreased blood volume and increased osmolarity

Within the brain

A

Thirst mechanism :fluid balance control

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

promotes reabsorption of water in the kidneys

Prevent urination

Posterior pituitary

A

fluid balance control :Antidiuretic hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Increases reabsorption of sodium and water in the kidneys

A

fluid balance control: aldosterone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

stimulates, renal, vasodilation and suppresses aldosterone, increasing urinary output

From the heart to decrease blood volume in systemic blood pressure

A

fluid balance control: atrial NATRIURETIC peptide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

excess fluid in the interstitial space

Extracellular and intracellular fluid

A

Edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Access fluid in the intervascular space

A

hypervolemia or fluid volume excess

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

excess fluid in the intracellular space

Creates hypotonic solution

Seen with distilled water or excessive water intake

A

Water intoxication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

High sodium diet

A

Excessive sodium or water intake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Hyperaldosteronism -increase the sodium retention

Cushing syndrome -excessive cortisol also sodium levels increase(freeze glucose increases sodium)

Syndrome of inappropriate antidiuretic hormone

Renal failure

A

Inadequate, sodium or water elimination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Large amount

A

Syndrome of inappropriate antidiuretic hormone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
True
26
Fluid excess
27
Fluid defict
28
Fluid deficit
29
Fluid deficit
30
Fluid deficit
31
Distended jugular vein
32
Stomach ulcer
33
Bulging Fontenelle
34
Pitting edema
35
sunken Fontenelle
36
are ions charged particles
Electrolytes
37
Positively charged electrolytes
Cations
38
negatively charge electrolytes
Anions
39
helps with muscle and neural activity Make muscles and nerves work
Sodium potassium calcium
40
135 to 145 MEQ/L
Sodium
41
98 to 108 MEQ/L
Chloride Cl-
42
3.5 to 5 MEQ/L
potassium
43
4-5 meq/L
calcium Ca++
44
There is a higher concentration of___outside the cell
Na
45
There is a higher concentration of___inside the cell
K
46
To keep a negative charge cell, how many sodium ions must be pumped out of the cell and how many potassium ions must be pumped inside the cell?
3 sodium ions pumped out 2 potassium ions pumped in Sodium potassium pump
47
Most significant positive ion in the body
Sodium
48
Increase thirst, seizures, coma, edema
Hypernatremia
49
Cause of hypernatremia
50
True
51
Hyponatremia
52
Hyponatremia
53
Hyponatremia
54
major extracellular negatively charged ion
Chloride
55
True
56
Potassium
57
D. Potassium changes the heart rhythm.
58
needed for nerve and muscle function
calcium * need magnesium and phos to put calcium in bones
59
Calcium
60
Hypercalcemia Too much calcium within the blood
61
Hypocalcemia
62
Hypocalcemia
63
Deep tendon reflex
64
Trousseaus
65
Chvosteks
66
What is the normal serum pH for systemic blood and tissues
7.35 to 7.45 Based on the concentration of hydrogen ions
67
PH regulation
68
What is the pH of stomach acid?
2
69
The bicarbonate carbonic acid system-series of substances in the bloodstream ready to absorb/release hydrogen ions, depending on acid or basic. If acidic it will absorb hydrogen ions. If basic it will release hydrogen ions. Maintain normal pH Sense acid or basic, causing an immediate reaction due to the change NPH
Buffers
70
True
71
manages pH by altering CO2 excretion Uses chemo receptors to monitor CO2
Respiratory regulation, pH balance
72
too much retain CO2 Speeding up, respirations will excrete more carbon dioxide to decrease the acidity
Respiratory acidosis
73
to little retain CO2 Slowing down, respirations will excrete less carbon dioxide, increasing acidity
Respiratory alkalosis
74
to little retain CO2 Slowing down, respirations will excrete less carbon dioxide, increasing acidity
Respiratory alkalosis
75
kidney balance hydrogen(acid) & bicarbonate (basic)
Renal regulation
76
if the body is too ____ the kidneys will excrete hydrogen and retain by carbonate
Acidic
77
If the body is too__the kidneys will excrete bicarb and retain hydrogen
Basic
78
The kidneys compensate for what organ
The lungs
79
The lungs compensate for what?
Everything other than the lungs Ex. DKA there is an increase in respirations and rhythm to get rid of CO2.
80
A
81
Decrease in pH in the body
Metabolic acidosis
82
What is the normal anion gap?
6-9 MeQ/L Bigger means there is more acids in the extracellular fluid
83
Results from excess bicarbonate or deficient hydrogen ions Kidneys, retain bicarb or get rid of hydrogen
Metabolic alkalosis
84
True
85
respiratory acidosis Example COPD emphysema
86
Respiratory alkalosis
87
Mixed disorders
88
False
89
pH: <7.4 PaCO2: >45mm Hg HCO3: normal Compensation: HCO3 >26 (retain bicarb)
respiratory acidosis
90
pH: >7.4 PaCO2: <35mm Hg HCO3: normal Compensation: HCO3 <22 (get rid bicarb)
Respiratory alkalosis
91
pH: <7.4 PaCO2: normal HCO3: <22meq/l Compensation: paco2 <35 get rid of co2
Metabolic acidosis
92
pH: >7.4 PaCO2: normal HCO3: >26 mEq/L Compensation: paco2 >45 retain co2
Metabolic alkalosis
93
True
94
Normal abg values