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26 Cards in this Set

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  • Back
What percent of an average adults body is fluid?
Fluid makes up about 60% of an average adults body weight
Most body fluid is contained within two compartments, what are they?
Intracellular fluid is contained within the cells.
Extra cellular fluid is outside the cells
Extracellular fluid (ECF) accounts for 20% of body weight. What are the 3 types of ECF?
Interstitial fluid- space between the body cells.
Intravascular fluid-is the plasma within the blood.
Transcellular fluid-includes fluids such a cerebrospinal, pleural, peritoneal and synovial fluid; and digestive juices.
What is the major cation in the Intercellular fluid (ICF)?
The major cations in the ICF are potassium and magnesium
What is the major electrolytes in the ECF?
Sodium and chloride and bicarbonate are the major electrolytes in the ECF
What is of lower osmolarity than blood?
A hypotonic solution is of lower osmolarity than blood. When a hypotonic solution is infused, water moves by osmosis from the vascular system into the cells
A????? solution contains a higher concentration of solutes than blood?
A hypertonic solution. When a hypertonic solution is given to a patient, water moves by osmosis from the cells into the ECF.
What is a passive process by which molecules of a solute move through a cell membrane from an area of higher concentration to an area of lower concentration?
Diffusion
Filtration is the movement of what?
Filtration is the movement of both water and smaller particles from an area of high pressure to low pressure.
What is the force created by fluid within a closed system?
Hydrostatic pressure
During active transport, What moves? from and area of ?? to an area of ???
During active transport, MOLECULES (solute) moves from an area of low concentration to an area of high concentration
Fluid loss occurs how?
Urine
skin
lungs
feces
What organ in the body is the principal regulator of fluid and electrolyte balance?
the Kidneys are the principal fluid and electrolyte regulator.
What hormones are involved in the regulation of fluid and electrolyte balance?
Antidiuretic hormone (ADH)-released when low pressure is sensed.
Renin-angiotensin system- is released when fluid volume is decreased.
Aldosterone-promotes the reabsorption of sodium and the excretion of potassium
What is the major cation in the ECF?
Sodium (Na+) is the major cation in the ECF and is primary function is to regulate fluid volume.
What is the major cation in the ICF?
Potassium (K+) is the major cation of the ICF. Potassium is a key electrolyte in cellular metabolism.
What is responsible for bone health and neuromuscular and cardiac function?
Calcium (Ca2+) Is also an essential factor in blood clotting.
How is Acid-Base Balance regulated?
1-buffers
2-respiratory control of carbon dioxide
3-renal regulation of bicarbonate (HCO3-)
What occurs when there is a proportional loss of water and electrolytes from the ECF?
Fluid volume deficit (hypovolemia)
What is the first symptom of hypovolemia?
thirst is the first symptom of hypovolemia.
What is involves excessive retention of sodium and water in the ECF?
Fluid volume excess (hypervolemia)
Fluid volume excess results from what?
excessive salt intake, disease affecting kidney or liver function or poor pumping action of the heart.
What data collected reflects information about fluid, electrolyte and acid-base balance?
All of the vital signs.
Temperature-and elevated body temp increases the loss of body fluid
Pulse-tachycardia is an early sign of fluid volume deficit
Respiratory rate- altered may cause acid-base imbalance
Blood pressure-rises and falls with fluid volume
What are several lab tests performed to evaluate fluid, electrolyte, and acid-base status?
Serum electrolytes
Serum osmolarity
urine osmolarity
a complete blood count (CBC)
urinalysis
ABG's
How are IV fluids classified?
Isotonic fluids-.9% saline
Hypotonic solutions-5% dextrose (D5W) and .45% saline (1/2 NS)
Hypertonic fluids-volume expanders such as dextran and serum albumin.
What are some other names for a peripheral intravenous lock?
a heparin lock
saline lock