Chapter 26

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Created by:

hannahmarie000  on December 5, 2010

Subjects:

fluid, electrolyte and acid-base balance, anatomy and physiology ii

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Chapter 26

non-electrolytes
solutes that have bonds; no electrically charged species are created when they dessolve in whater; glucose; lipids; creatinines; urea
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non-electrolytes solutes that have bonds; no electrically charged species are created when they dessolve in whater; glucose; lipids; creatinines; urea
Electrolytes dissociate into ions; salts, acids and bases, and some proteins; have the greates ability to cause fluid shifts
metabolic water produced by cellular metabolism
thirst mechanism driving force for water intake; increase in plasma osmolarity will cause it
obligatory water loss unavoidable out put of a certain amount of water; lost from insensible or sensible losses
dehydration output of water exceeds intake; body is in negative fluid balance; may be caused by hemorrhage, severe burns, vomitting, diarrhea, sweating, diuretic abuse; signs include cotton mouth, thirst, dry skin and decreased urine output
hypotonic hydration overhydration
edema atypical accumulation of fluid in the interstitial space leading to tissue swelling
pica appetite for abnormal substances
aldosterone hormone that promotes sodium reabsorption and water conservation
vasodilation enhances water and sodium loss
vasoconstriction action of blood vessels that conserves water and sodium
hypernatremia increased excess sodium causes neuromuscular irratibility,thirst, confusion, lethargy, coma
hyponatremia sodium deficit; neurologic dysfunction
hyperkalemia potassiium excess; nausea, vomitting, diarrhea, bradycardia, depression and arrest, weakness, flacid paralysis
hypokalemia postassium deficit; cadria arrhythmias, flattened T wave, muscular weakness, metabolic alkalosis
hypercalcemia excess of calcium; cardiac arrhythmias and arrest, muscle weakness, confusion, kidney stones, nausea and vomitting
hypocalcemia deficit of calcium; tingling fingers, tremors, muscle cramps, tetany, convolsions
alkalosis arterial blood pH above 7.45
acidosis arterial blood pH below 7.35

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