WEEK 12 Flashcards

(49 cards)

1
Q

2 major compartments of body fluids

A

Intracellular
 Extracellular

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2
Q

Transcellular fluid

A

Fluid separated from other fluids by a cellular barrier
 Very small % of body fluids
 Eg: CSF, pericardial, pancreatic, pleural, intraocular
fluid, biliary, peritoneal and synovial fluid

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3
Q

interstitial fluid

A

bathes, surrounds cells

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4
Q

intravascular fluid

A

blood plasms in vascular system

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5
Q

Brain-Kidney Interaction

A

serum osmolality increases ,
the brain stimulates release of antidiuretic hormone (ADH)
“vasopressin” to act on the kidneys to increase
REABSORPTION of water which decreases the excretion of
urine and increases the blood volume in the body.

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6
Q

4 processes for body fluid movement

A

osmosis, diffusion, filtration, active transport

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7
Q

osmolality

A

describes concentration of a solute to water

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8
Q

osmotic pressure

A

drawing power of water and depends on the # of molecules in a solution

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9
Q

A solution with high solute concentration has high _____ and draws water _______

A

osmotic pressure, towards itself

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10
Q

What is an isotonic solution and what are some examples?

A

a solution with the same osmolarity as blood plasma. expands body’s fluid volume w/o causing a fluid shift from one compartment to another. examples are normal saline (aka 0.9 sodium chloride)

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11
Q

What is a hypertonic solution? how does it work and what are some examples?

A

it is higher in cocentration and thus has higher osmotic pressure than the surrounding body cells. pulls fluid from cells causing crenation and increasing fluid in the vascular compartment. eg, 3% sodium chloride.

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12
Q

What is a hypotonic solution? how does it work, and what are some examples?

A

it is less concentrated than the fluid in the surrounding cells. has lower osmotic pressure, so it pushes fluid into the surronding cells and out of the vascular compartment. EG half normal saline

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13
Q

Process where SOLVENTS & SOLUTES (coffee &
sugar) move across the membrane together

A

Filtration

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14
Q

Hydrostatic pressure

A

pushes fluid out of a system

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15
Q

Eg. Sodium-Potassium-ATPase pump

A

ATPase moves 3 sodium ions out of the cell for every 2
potassium ions that it pumps in

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16
Q

Diffusion in the Body (example)

A

Eg. When carbon dioxide diffuses from the
bloodstream across the membrane of the alveoli so
that it can be exhaled

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17
Q

Filtration in the Body (example)

A

arterial end
hydrostatic
pressure exceeds colloid osmotic pressure, so fluid &
diffusible solutes (nutrients) move out of the
capillary into the interstitial space
venous end
colloid osmotic
pressure exceeds hydrostatic pressure, so fluid &
some solutes (waste products) move into the
capillary from the interstitial space

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18
Q

Hypovolemia

A

SOTONIC DEHYDRATION, FLUID
VOLUME DEFICIT a lack of water AND electrolytes
and therefore a decrease in blood volume.
23

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19
Q

Actual Dehydration

A

lack of fluid in the body

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20
Q

Relative Dehydration

A

involves a shift of water to
the interstitial space.

21
Q

What would happen if you gave someone excessive D5W?

A

overhydration

22
Q

antidiuretic hormone

A

causes body to retain water.

23
Q

where is ADH stored?

A

posterior pituitary gland

24
Q

ADH makes renal tubules and collecting ducts more permeable to water, which ____________

A

causes water to return to the systemic circulation, diluting the blood and decreasing osmolarity.

25
atrial natriuretic peptide
natural diuretic
26
hypokalemia symptoms
muscle weakness, cardiac arrhythmias, constipation, fatigue, extreme cases- respiratory paralysis, paralytic ileus, hypotension, tetany, rhabdomyolysis
27
how should potassium never be administered?
iv push
28
hyperkalemia symptoms
nausea, vomiting, muscles aches, decreased DTR, paralysis, dysrhythmias, palpitations, extreme cases heart failure death
29
hyponatremia symptoms
nausea, feeling unwell, cerebral edema, lethargy, confusion, headache, restlessness, irritability (critical) muscle twitching, decreased level of consciousness, seizures, coma, death
30
hypernatremia
confusion, lethargy, irritability (critical) muscle twitching, level of consciousness changes, seizures, coma, death
31
Hypercalcemia Assessment
moans, bones, stones, groans, overtones
32
Why would a phosphate prescription be useful for hypercalcemia?
it blocks calcium absorption
33
hypermagnasemia (slight)
nasuea, dizziness, weakness, confusion
34
hypermagnasemia (severe)
muscle flaccid paralysis, decreased RR, hypotension, bradycardia, dysrhythmias, seizures, coma, cardiac arrest, death
35
causes of hyper magnasemia (level greater than 2.1 mEq/L)
kidney disease, excessive intake, medications, trauma, acidotic state, hypothyroidism, chronic alcohol disorder
36
hypermagnesemia treatment
IV drugs to suppress Mg, hemodialysis, cardiac monitoring
37
True or False? Mg+ has long half-life greater than 24 hours.
true
38
magnesium normal level
1.3 - 0.5
39
hypomagnesemia symptoms (mild)
nausea, vomiting, decreased appetite, fatigue, weakness
40
critical hypomagnesemia signs
neuromuscular changes, muscle cramps, spasticity, numbness, tingling, seizures, tetany, personality changes, cardiac dysrhythmias
41
hypomagnesemia treatment
oral/IV replacement, correction of K+ and Ca+, increased dietary consumption
42
precaution to take if administering IV magnesium?
check dose with another nirse and validate everything. adminsiter SLOWLY and monitor urine output
43
ELECTROLYTE LAB VALUES
NA + 136-156 K+ 3.5- 5.0 Cl- 98-106 Ca2+ 9-10.5 mg/dL P 2.5-4.5 mg/dL Mg2+ 1.3-2.1 mg/dL
44
ABG
Ph 7.35 to 7.45
45
PaCO2
35 to 45
46
HCO3-
21 to 28 meql
47
PaO2
80 to 100
48
o2sat
95 100
49