Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

26 Cards in this Set

  • Front
  • Back
What is the TBW in males and females?
60% >> male 70kg
50-55% >> female
What are the two fluid compartments?
Intracellular: 2/3 of TBW

Extracellular: 1/3 of TBW
What are the recommended bolus doses?
Geriatrics- 250 cc
Adults- 500 cc
Adolescents- 250 cc
Infants- 20 cc
What type of fluids can you give via bolus dose?
Normal saline
Lactated Ringers

30 min-2 hrs
What is the #1 cause of hyponatremia?
What are the contents of Normal Saline and Ringers Lactate?
NS- 154 Na, 154 Cl
Ringers- 130 Na, 109 Cl, 4k, 28 Lactate, 3 Calcium
Rapid correction of hyponatremia can cause?
Central Pontine Myelinolysis
What is central pontine myelinolysis?
A neurologic disease caused by severe damage of the myelin sheath of nerve cells in the brainstem, more precisely in the pons. Caused by rapid correction of hyponatremia.
What is the treatment of dilutional hyponatremia?
Water restriction
What are the symptoms of hyponatremia?
CNS disturbance
Overproduction of ADH is known as?
Underproduction of ADH
Diabetes Insipidus
What are some causes of excessive urinary losses
Osmotic diuresis: Glucose, Mannitol, Angiographic Contrast Media
Def of ADH
What is the treatment of DKA?
NS- to lower blood osmolality
Insulin- forces glucose and K into cells
Replace electrolytes
What type of fluid do you give burn patients?
Ringers Lactate
What fluids are given to diabetics during surgery?

For non-diabetics give NS (it stays intravascular)
What is the #1 cause of volume depletion?
GI losses:

NG tube Sx
How do you treat fluid depletion?
Treat the cause
Ringer's Lactate/NS
Replacemnt of acidic gastric contents
What is the fluid treatment of hyponatremia
Normal saline administered slowly
What fluid do you give to correct Third spacing?
Normal saline
What fluid should be avoided in the first 24 hrs following major surgery?
KCl because tissue trauma during surgery releases intracellular potassium
What fluid is given to correct severe vomiting or NG Sx losses?
Normal Saline or
Ringers Lactate with potassium
What fluids are given to treat severe diarrhea
For each liter of diarrheal fluid lost, give 1000 ml of 1/2 NS with 40 mEq KCL and 25 mEq Sodium Bicarb
How many days can IV fluids maintain a pt?
3-5 days because they don't contain adequate nutrients
In which pts must you have caution to avoid fluid overload?
Inpaired renal or cardiac function
What are the normal daily losses of water and electrolytes?
Water: 2000-2500 ml/day
Sodium: 75 mEq/day
Potassium: 40-60 mEq/day
Glucose: 100 Gm/day