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33 Cards in this Set
- Front
- Back
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ECF
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Extracellular fluid
Intravascular - in blood vessel Interstitial - between cells - lymph Transcellular - Other fluid - CSF, pleural, sweat, digestive |
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Third Spacing
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Causes: burns, cancer...
s/s : edema, weight gain, Vitals: BP down, Pulse up hypotension |
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Osmolality
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concentration of particles in a solution in a person
concentraction of blood, urine |
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Kidneys
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regulate body fluid- ECF volume, electrolytes, pH
1L/kg/h=urine |
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lungs
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300 mL output
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BUN
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10-20
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Creatinine
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0.7-1.4
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Hematocrit
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males 42-52
Females 35-47 |
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Hemoglobin
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13-17
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hypotonic solution
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to get fluid from ECF to ICF; makes the cell swell; fluid is needed in the ICF; dehydration
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Hypertonic solution
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to get fluid from the ICF to the ECF; makes the cell shrink; risk for fluid overload- anything dextrose
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fluid volume deficit
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fluid is depeated -not electrolytes-just fluid
c: vomiting, diarrhea, decreased fluid intake S/S: poor skin turgur, dry/sticky membranes, decreased urine, urine dark |
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fluid volume deficit : Labs
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Bun increased
Creatinine increase H & H increased Urine specific gravity increased Osmolality increasd Sodium DECREASED |
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FVD : WWND
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I & O
daily weight give isotonic fluids |
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Fluid Volume Excess (FVE)
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FVE= hypervolemia
fluid overload risk S/S: increased P & BP, confused, dyspnea, moist crackles in lungs |
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FVE: Labs
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DECREASED:
Bun H & H Urine Specific Gravity Osmolality INCREASE: Sodium |
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FVE: WWND
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*check for edema
*I & O *weight (1l=1kg=2.2lbs) *assess lung sounds *Edema: anasarca - everywhere ascites-abdomin & peritoneal *elevates extremities *TED hose |
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Sodium
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135-145
for water balance |
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Calcuim
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8.6-10.2
for muscle and nerve Calcuim & Phosphorus =oppisites |
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Chloride
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97-107
acid - base balance Hypo-met. alkalosis Hyper- met. acid Bicarb up-Cl- down |
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Potassium
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3.5-5
cardiac func never crush pill never IV push *acidosis can cause hyper K+ |
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Magnesium
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1.3-2.3
neuromuscular Hyper Mg- decreased BP, P, R coma risk |
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Phosphorus
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2.5-4.5
bones & teeth |
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hupernatremia
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S/S: increased respr., pulse, heart rate
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pH
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7.35-7.45
Below 7.35= acidosis Above 7.45=alkalosis |
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Pa CO2
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35-45
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Pa O2
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70-100
respirtory |
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HCO3
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22-26
bicarb- metabolic |
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ROME
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respiratory oppisite
metabloic equal |
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pH less than 7.35
HCO3 less than 22 |
Bicarbs down
metabolic acidosis raised Potassium |
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ph great than 7.45
HCO3 26 |
Bicarbs up
metabolic alkalosis Decreased Potassium |
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pH less that 7.35
PCO2 greater than 45 |
respiratory acidosis
increased P, BP, R |
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pH greater than 7.45
PCO2 less than 35 |
Respiratory alkalosis
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