Common assessment abnormalities

25 terms by milkchoco 

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poor skin tugor

fluid volume deficit

cold, clammy skin

Na+ deficit
Shift of plasma to interstitial fluid

pitting edema

fluid volume excess

flushed, dry skin

Na+ excess

bounding pulse

fluid volume excess
shift of interstitial fluid to plasma

rapid, weak, thready pulse

shift of plasma to interstitial fluid
Na+ deficit
fluid volume deficit

weak, irregular, rapid pulse

Severe K+ deficit

weak, irregular, slow pulse

Severe K+ excess

hypotension

fluid volume deficit
shift of plasma to interstitial fluid
Na+ deficit

hypertension

fluid volume excess
shift of interstitial fluid to plasma

deep, rapid breathing

compensation for metabolic acidosis

shallow, slow, irregular breathing

compensation for metabolic alkalosis

shortness of breath

fluid volume excess

moist cracker

fluid volume excess
shift of interstitial fluid to plasma

restricted airway

Ca2+ deficit

cramping of exercised muscle

Ca2+ deficit, Mg2+ deficit, alkalosis

carpal spasm (trousseau's sign)

Ca2+ deficit, Mg2+ deficit, alkalosis

flabby muscle

K+ deficit

positive Chvostek's sign

Ca2+ deficit, Mg2+ deficit, alkalosis

picking at bedclothes

K+ deficit, Mg2+ deficit

indifference

fluid volume deficit
Na+ deficit

apprehension

shift of plasma to interstitial fluid

extreme restlessness

K+ excess, Na+ excess, fluid volume deficit

Confusion and irritability

Na+ deficit, K+ deficit,
Ca2+ excess, Mg2+ excess,
fluid volume excess, H2O excess

decreased level of consciousness

Na+ deficit
H2O excess

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