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33 Cards in this Set
- Front
- Back
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Poor skin turgor
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fluid volume deficit
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cool, clammy skin
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Na+ deficit, shift of plasma to interstitial space
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pitting edema
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Fluid Volume Excess
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flushed, dry skin
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Na+ excess
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bounding pulse
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Fuid volume excess, shift of interstitial fluid to plasma
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rapid, weak thready pulsse
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shift of plasma to interstitial fluid, Na deficit, fluid vol. deficit
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weak irregular rapid pulse
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Severe K+ deficit
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weak, irregular, slow pulse
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Severe K+ excess
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Hypotension
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fluid vol. deficit, shift of plasma to interstitial fluid, Na+ deficit
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Hypertension
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Fluid vol excess shift of interstitial fluid to plasma
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Deep, Rapid Breathing
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compensation for metabolic acidosis
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Shallow, Slow, irregular breathing
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compensation for metabolic alkalosis
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Shortness of breath
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Fluid Volume Excess
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Moist crackles
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Fluid Vol. excess shift of interstitial fluid to plasma.
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restricted airway
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Ca2+ deficit
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cramping of exercised muscle
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ca2+ deficit, Mg2+ deficit, alkalosis
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Carpal Spasm (trousseau’s sign)
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ca2+ deficit, mg2+ deficit, alkalosis
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decreased level of consciousness
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Na+ Deficit, H20 excess
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extreme restlessness
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K+ excess, Na+ excess, Fluid Vol. Deficit
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Positive chvosteks Sign
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ca2+ deficit, mg2+ deficit, alkalosis
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Flabby Muscles
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K+ Deficit
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A patient having a panic attack is letting go of too much CO2 and is likely to have what ABG issue..
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ResP. Alkalosis
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an example of a hypotonic solution is..
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0.45 Na Saline
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A pt post op may be compensating for fluid volume deficit if they have..
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Tachycardia
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hematocrit goes up with..
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dehydration. Hematocrit goes down with fluid overload.
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Increased HR, dry mucous membranes, poor skin turgor, and a BUN around 50 are signs of..
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DEHYDRATION
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People who are most at risk for fluid volume deficit are..
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people who cant quench their thirst "like elderly"
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priority nursing intervention for fluid volume overload
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Raise head of the bed.
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How should KCl be administered?
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40meg/kcl is the standard, given piggyback over an hr..
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NORMAL Fasting Blood GLUCOSE LEVEL is..
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70-100 (100-126 is pre-diabetes diagnosis)
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If patient has low Mg levels, nurse should ask about..
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Daily alcohol intake.
"foods high in MG include Peanut butter and green vegetables". |
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Someone with a fluid volume excess would have crackles at..
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Lung Bases.
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A patient recovering from a protein deficit would have decreased edema because..
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fluid is going from interstitial spaces back into the vessels.
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