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6 Cards in this Set

  • Front
  • Back
Symptoms of Fluid Volume Deficit
Wt. Loss
Tenting
Muscle Cramping
hTH, Orthostatic hTN
Tachycardia
Decreased Urine output
Dry mucous membranes
Change in LOC
Symptoms of Fluid Volume Excess
Edema, pitting
Weight Gain over 3lb (esp. CHF)
Crackles in lung fields
HTN
JVD (jugular vein distension)
Headache!
Hypothalmic & Pituitary Regulation of Fluids
Thirst or stress stimulates the Hypothalamus, which produces ADH & stimulates the Posterior Pituitary to release ADH.

ADH acts on the Renal Tubules to return H2O to the system.


*SIADH causes fluid overload
Fluid Spacing
1 - Fluid where it should be.
2 - Fluid where it should be, but in excess (ex: edema)
3 - Fluid going where it does not usually go (ex: ascites, pulmonary edema, peritoneal cavity, surgery site)
Adrenal Gland (Cortex) Regulation of Fluids
-Adrenal Cortex releases Glucocorticoid Cortisol to increase blood sugar levels in times of stress and stimulates thirst.
-Releases Mineralcorticoid Aldosterone to retain Na+ and water and excrete K+.
Renal Regulation of Fluids
Renin is produced in response to decreased renal perfusion (low plasma volume). Renin converts to Angiotension 1, Angiotension II which vaso-constricts to send more blood to the kidneys, and stimulates the Adrenal Cortex to release Aldosterone, which retains Na+ & Water & excretes K+