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58 Cards in this Set
- Front
- Back
2 distribution ways
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ICF- intracellular fluid
ECF- extra |
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4 nonelectrolytes
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urea, glucose, Oxygen, CO2
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4 ways of f&e movement
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osmosis, pre4ssures, active transport, diffusion
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pushes fluid out of vascular space
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hydrostatic pressure (filtration force)
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body fluid- app. what PH?
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7.4
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PH- controlled by: (3)
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buffer system, resp. and renal mechanisms
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pressure exerted by a solution to stop osmosis
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osmotic pressure
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hypertonic- is ______ the vessels
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within
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hypotonic- _______ the vessels
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outside
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arterial blood gases
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7.35-7.45
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what helps in decreasing the effects of strong acids
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NaHCO3 (sodium bicarb)
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formula that helps decreasing the effects of strong acids
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HCL (strong acid) + NaHCO3 → H2CO3(weak acid) +NaCL(salt)
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lungs control supply of _______ acid: ______
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carbonic: H2CO3
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FORMULA for respiratory control balance
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NaOH+ H2CO3→ NaHCO3 + H2O
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the ______ excrete H ions and form bicarb in relation to PH
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kidneys
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if PH is low (too ________), the kidney excretes _________ and retains _______
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acidic, H ions, bicarb
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if PH is high(too _______), the kidney excretes ______ and retains _____
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alkolytic, bicarb, H ions
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loss of both water and electrolytes
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FVD fluid volume deficit
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postural hypotension AKA:
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orthostatic hypotension
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with FVD: wt gain/loss?
: elastic/inelastic skin? : renal failure/increase? |
loss, inelastic, failure
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when ________ I&O's of FVD pts, daily AM weight, use same scale and same time of day
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managing
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with FVD pts, irrigate NG with _________, eat _____________ ONLY
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NS, ice chips
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Excess Fluid Volume EFV =__________ overload
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circulatory
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EFV S&S include:
pitting _____ moist _______ wt loss/gain _______ pulse neck vein ______ |
edema
crackles gain bounding distention |
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normal values for NA+
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135-145mEq/L
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sodium regulated by: _____ and ________________
sodium regulates: |
ADH, aldosterone, body fluids
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ADH- anti diuretic hormone realeased by _________________________
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posterior pituitary
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Hyponatremia would be less than/more than what?
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less than <135
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hyponamtremia- excess/shortage of fluid
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excess
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hypernamtremia would be less than/more than what?
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more than >145
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hypernamtremia RT ______ malfx
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kidney
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treatment of hypertermia would be the treatment of the underlying condition, which would mean treatment of:
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dialysis
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K+ values":::
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3.6-5.0 mEq/L
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___________ excretions cause K+ excretion
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aldosterone
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K+ regulated by ________
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kidney
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***very important indicator of cardiac fx***
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K+
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hypokalemia= less than/morethan what?
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less than< 3.6
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ketoacidosis usually due to _________, taking ____________________, eating ______ bc it takes K+
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having diabetes type 1
corticosteroids licorice |
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hyperkalemia- less than/more than what?
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more than> 5.0
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unable to excrete in kidney failure, excessive release from cells in burns and infections
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hyperkalemia
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carbonic acid to bicarb ratio
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1:20
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too much blood carbonic acid or decreased blood bicarb
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acidosis
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increased blood bicarb or not enough carbonic acid
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alkalosis
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resp. acidosis= carbonic acid excess/shortage?
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excess
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pts with ________ __________ cannot exhale CO2, so they are dioriented
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resp acidosis
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for pts with resp acidosis: chest care would be: ______________ and ____________ drainage
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bronchodilators and postural drainage
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resp alkalosis: carbonic acid excess/shortage?
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shortage
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kidneys compensate with resp alkalosis by retaining _____ and excreting ______
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H ions, sodium
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the biggest sign of resp alkalosis is ____________
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hyperventilation
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metabolic acidosis: ___________ deficit, seen in what type of diabetes?
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base bicarb deficit, type 1
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signs of metabolic acidosis: Kussmaul's (which is _________________________________)
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deep and rapid breathing
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metabolic alkalosis: _____ excess
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bicarb
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metabolic acidosis= rise/fall in PH
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fall
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during metabolic alkalosis: lungs compensate by retaining ____
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CO2
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the more H+ ions, the more _____ it becomes
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acidic
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infants have high/low resp rate, high/low metabolic rate
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high
high |
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factors affecting F&E balance:
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Age
Heat Diet Stress Illness |
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3 types of IV's
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1. nutrients
2. electrolytes 3. plasma volume expanders |