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58 Cards in this Set

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