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65 Cards in this Set
- Front
- Back
What is Homeostasis?
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equilibrium in the body
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What is neccessary for the body to maintain homeostasis?
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water, and proper maintenance of water
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Water is app. ______% of body weight?
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60% in adults
45-55% in elderly 70-80% in infants |
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How much water is located inside cells?
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2/3
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Name the three fluid compartments in the body?
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Intracellular
Extracellular transcellular |
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Name 3 functions of water in the body?
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regulation of temp
lubrication for joints, membranes carries oxygen to cells transports nutrients, electrolytes carries waste from cells is a medium for food digestion |
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How much in lbs does 1L of water weigh?
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2.2 lbs (1kg)
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What are electrolytes?
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substances that have molecules that split into ions when in water
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Which ions are positively charged?
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cations
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Anions are?
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negatively charged ions
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The ICF's main cation?
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K+
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Na+ is the main cation for the?
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ECF
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Which process is involved in the movement of water?
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Osmosis
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Active transport is used to help which two important cations move against the concentration gradient?
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Na+ & K+
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What is the difference b/w osmolarity and osmolality?
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Although they are used as the same term, osmolarity refers to fluids outside of the body and osmolality refers to fluids inside the body.
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Which pressure refers to force within a fluid compartment?
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Hydrostatic Pressure
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Oncotic pressure is also refered to as?
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colloidal osmotic pressure
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Edema is?
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a fluid shift into the interstitium
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What is fluid spacing?
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the distribution of fluid in the body
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Name the term used when fluid collects in a portion of the body where it is unavailable for functional use?
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Third spacing
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Which regulation system assists in fluid balance by sensing a deficit and stimulating the release of ADH from the pituitary?
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Hypothalamic Regulation
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Which mechanism is crucial for the hypothalamic regulation to work?
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The thirst mechanism
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Which hormone does the posterior pituitary release that regulates water in the kidneys?
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ADH
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Name two conditions that cause alterations in the release of ADH.
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SIADH (syndrome of inappropriate ADH)
Diabetes Insipidus |
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Which condition causes a reduction in the release of ADH?
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Diabetes insipidus
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Name one cause of SIADH?
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brain injury
brain tumor small cell lung cancer ect. |
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What are the primary organs responsible for fluid regulation?
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kidneys
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How much urine per day does the average adult produce?
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1.5L
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Invisible vaporization of fluids from skin and lungs is?
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insensible water loss
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Name normal levels for K+, Mg2+, Na+, & Ca2+.
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K+=3.5-5.5 mEq/L
Mg2+=1.5-2.5 mEq/L Na+=135-145 mEq/L Ca2+=4.5-5.5 mEq/L |
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Name the two main causes of Hyponatremia?
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sodium loss or water gain
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Name two things that could cause sodium loss?
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Diarrhea, Vomiting, diuretics, burns, wound drainage
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List 5 syptoms of hyponatremia due to water gain?
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confusion, weakness, headache, nausea, vomiting, weight gain, increased BP, increased CVP, muscle spasms, seizure, coma
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Are seizures and coma also symptoms of hyponatremia due to sodium loss?
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yes
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Intense thirst is a key symtom of?
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Hypernatremia
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Reasons for Hypernatremia include sodium gain or_____?
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water loss
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Would you use NaCl IV solutions to treat Hypernatremia?
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No, the goal of Tx is to get rid of sodium and using NaCl or in other words Normal Saline would be adding more sodium into the system.
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Name an IV solution that would be used for Hypernatremia?
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D5W
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What is another name for Fluid Volume Deficit?
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Hypovolemia
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What is the goal of Tx for FVD?
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correct underlying cause
replace water and electrolytes |
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What other than water would you want to remove from the body in FVE?
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Sodium
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Which electrolyte is responsible for functions in nerve impulses, cardiac rhythms, and smooth muscle contractions?
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Potassium
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Which annoying leg problem can come from not having enough potassium (hypokalemia)?
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leg cramps
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When there is not enough K+, the heart is affected, which comes first? a fast irregular heart rate or a slow heart rate
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a fast irregular one
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Name a cardiac medication that could cause Hyperkalemia?
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ACE Inhibitors
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Why does Hyperkalemia cause Diarrhea?
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The body is trying to get rid of the extra potassium.
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How does the body obtain calcium?
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ingestion of calcium containing foods
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Calcium has an inverse relation ship with phosporous, what does this mean?
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If one is at higher levels, the other is at lower ones and vice versa
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Which gland promotes the hormone that regulates calcium? And what is the name of the hormone?
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parathyroid gland
PTH |
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Neck surgery causes which alteration in calcium?
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Hypocalcemia
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Would an increase or a decrease in PTH cause hypocalcemia?
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decrease
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What is an early sign of hypocalcemia?
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numbness and tingling around mouth (circumoral parasthesia)
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Describe the two main clinical signs of tetany?
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Chvostek's sign is when there is a contraction of the facial muscle by tapping the facial nerve in front of the ear.
Trousseau's sign is when there are carpal spasms brought on by inflating a BP cuff on the arm. |
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Which calcium imblance is Tetany associated with?
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Hypocalcemia
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Why would a person have bone pain with hypercalcemia?
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The calcium came out of the bone and into the blood stream.
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What med would you give to a person with electrocardiogram changes due to Hypercalcemia?
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Calcium Channel Blockers
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Is phosphate essential for the function of white blood cells or red blood cells?
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RBC's
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What is the major route for Phosphorous excretion?
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the kidneys
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What muscle problem does hyperphosphatemia have that also is associated with hypocalcemia?
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Tetany
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Name a cause for Hyperphosphatemia?
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renal failure
chemo enemas containing phosphorous excessive ingestion of milk large vit-D intake hypoparathyroidism |
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Hypophosphatemia can be cause by?
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TPN
alcohol withdrawal recovery from diabetic ketoacidosis respiratory alkalosis |
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Where is 50-60% of the body's magnesium contained?
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bone
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Hypomagnesemia causes CNS _____?
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hyperirritability
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Hypermagnesemia is likely to only occur with?
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an increased intake along with renal failure
or in pregnant women on mag sulfate for eclampsia |
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Is learning F&E's a big pain?
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Yes, but worth it!
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