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25 terms

Common assessment abnormalities

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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