Study sets matching "fluid electrolyte acid"

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Study sets matching "fluid electrolyte acid"

61 terms
Fluid, Electrolyte, Acid-Base
Fluid
Fluid Compartments
Extracelluar has 3 divisions
Electrolytes
means water that contains dissolved or suspended substances s…
•Extracellular fluid (ECF)=1/3 of total body water... •Intracell…
•Intravascular (plasma)... •Interstitual (between cells & outsid…
Is a compound that separates into ions when it dissolves in w…
Fluid
means water that contains dissolved or suspended substances s…
Fluid Compartments
•Extracellular fluid (ECF)=1/3 of total body water... •Intracell…
30 terms
Fluid, Electrolyte, and Acid-Base
A nurse is reviewing the ABG results f…
A nurse is caring for a client who has…
A nurse is assessing a client who has…
A nurse is caring for a client who rep…
pH 7.51, PaO2 94 mm Hg, PaCO2 38 mm Hg, HCO3- 29 mEq/L ... INCO…
•Increased urine specific gravity ... INCORRECT... A high specif…
•Hyperactive deep-tendon reflexes ... Hyperactive deep-tendon…
PaO2 ... INCORRECT... With respiratory alkalosis, the PaO2 level…
A nurse is reviewing the ABG results f…
pH 7.51, PaO2 94 mm Hg, PaCO2 38 mm Hg, HCO3- 29 mEq/L ... INCO…
A nurse is caring for a client who has…
•Increased urine specific gravity ... INCORRECT... A high specif…
64 terms
fluid and electrolyte - acid-base
Aldosterone
Anasarca... extreme generalized edema... a m…
Anion
Anion gap
A hormone secreted by the adrenal cortex that increases blood…
caused by liver failure (cirrhosis of the liver), renal failu…
A negatively charged electrolyte.
The difference between the sum of cations and anions found in…
Aldosterone
A hormone secreted by the adrenal cortex that increases blood…
Anasarca... extreme generalized edema... a m…
caused by liver failure (cirrhosis of the liver), renal failu…
Fluid, Electrolyte & Acid Base
Hypertonic solution
Hypotonic solution
Isotonic solution
Cations
3% NaCl
.45% NaCl
0.9% NaCl
Positive charged electrolytes
Hypertonic solution
3% NaCl
Hypotonic solution
.45% NaCl
49 terms
Fluid Electrolyte/ Acid and Base- ATI
What is the differenct between hypovol…
What is hemoconcentration
What are the body's compensatory mecha…
What are the subjective/objective date…
Hypovolemia isotonic - involved water and electrolyte losses…
Occurs in severe dehydration, resulting in increases in Hct,…
Compensatory mechanisms include sympathetic nervous system re…
Vital signs - Hyperthermia, tachycardia, thready pulse, hypot…
What is the differenct between hypovol…
Hypovolemia isotonic - involved water and electrolyte losses…
What is hemoconcentration
Occurs in severe dehydration, resulting in increases in Hct,…
55 terms
Fluid/Electrolyte/Acid/Base
fluid balance
Electrolytes
ions
electrolyte balance
implies homeostasis - the total volume and distribution of wa…
substances that dissolve or break apart in water solution to…
electrically charged atoms - dissociated particles of an elec…
homeostasis or relative constancy of normal electrolyte level…
fluid balance
implies homeostasis - the total volume and distribution of wa…
Electrolytes
substances that dissolve or break apart in water solution to…
15 terms
Fluid, Electrolyte, Acid-base
In which compartment of the body is th…
The adrenal glands of a patient with p…
How does severe hyperkalemia negativel…
Of the three buffering mechanisms in t…
intracellular fluid (ICF) compartment
sodium
reduces depolarization events
renal system
In which compartment of the body is th…
intracellular fluid (ICF) compartment
The adrenal glands of a patient with p…
sodium
Acid, fluid, and electrolyte balance
Insensible water losses
Sensible water losses
Low ADH =
High ADH =
Skin and lungs
500 ml of urine
Dilute urine
Concentrated urine
Insensible water losses
Skin and lungs
Sensible water losses
500 ml of urine
44 terms
Acid, Base, Fluid and Electrolytes
Approximately what percentage of the b…
Intracellular fluid is located
Extracellular fluid is comprised of __…
Extracellular fluid is ____________ pe…
50-70%
within the cells.
Interstitial fluid and intravascular fluid.
15%
Approximately what percentage of the b…
50-70%
Intracellular fluid is located
within the cells.
30 terms
Fluid, Electrolyte, and Acid-Base
A nurse is reviewing the ABG results f…
A nurse is caring for a client who has…
A nurse is assessing a client who has…
A nurse is caring for a client who rep…
pH 7.51, PaO2 94 mm Hg, PaCO2 38 mm Hg, HCO3- 29 mEq/L ... INCO…
•Increased urine specific gravity ... INCORRECT... A high specif…
•Hyperactive deep-tendon reflexes ... Hyperactive deep-tendon…
PaO2 ... INCORRECT... With respiratory alkalosis, the PaO2 level…
A nurse is reviewing the ABG results f…
pH 7.51, PaO2 94 mm Hg, PaCO2 38 mm Hg, HCO3- 29 mEq/L ... INCO…
A nurse is caring for a client who has…
•Increased urine specific gravity ... INCORRECT... A high specif…
Fluid, electrolyte and acid
Equilibrium
Homeostasis
Infant water content
Male water content
What comes in must balance what goes out... Fluid, electrolyte a…
Normal levels necessary for proper cell function
60-75% of water
60% of water
Equilibrium
What comes in must balance what goes out... Fluid, electrolyte a…
Homeostasis
Normal levels necessary for proper cell function
52 terms
Fluid, electrolyte, acid base
fluid balance
Eldery
Water functions
Water intake
state in which h20 remains in normal amts within body
age related decline in total water, diminished thirst concent…
-maintenance of hydrogen balance... -transport nutrients, gases,…
2-3 L/day... beverages=1500ml... food= 1000ml... metabolic water= 800ml
fluid balance
state in which h20 remains in normal amts within body
Eldery
age related decline in total water, diminished thirst concent…
46 terms
fluid electrolyte acid base
intracellular fluid compartment
extracellular fluid compartment
non electrolytes
electrolytes
fluid inside cells accounts for 2/3 of total body fluid... cont…
fluid outside of cells. ... -plasma... -interstitial fluid... electrol…
organic molecules, do not dissociate in water. no changed par…
dissociate into ions in water
intracellular fluid compartment
fluid inside cells accounts for 2/3 of total body fluid... cont…
extracellular fluid compartment
fluid outside of cells. ... -plasma... -interstitial fluid... electrol…
90 terms
Fluid and Electrolyte and Acid Base
What two electrolytes effects the exci…
What is the difference in how K⁺ and C…
How does a decrease in plasma Ca⁺⁺ con…
Normal ionic balance.
K⁺ and Ca⁺⁺
K+ effects excitability because it is the major determinant o…
A decrease in plasma Ca⁺⁺ concentration (hypocalcemia) leads…
Normal ionic balance. ... For this excitable tissue (cardiac ven…
What two electrolytes effects the exci…
K⁺ and Ca⁺⁺
What is the difference in how K⁺ and C…
K+ effects excitability because it is the major determinant o…
Fluid electrolyte acid base
ECF FVD... Physical
ECF FVD... lab findings
ECF FVO... physical
ECF FVO... lab findings
Sudden weight loss, hypotension, tachycardia, thready lulse,…
Increased hct... BUN >25... Urine sp gravity >1.03
Sudden weight gain, edema, pulmonary edema
Decreased hct ... BUN <10
ECF FVD... Physical
Sudden weight loss, hypotension, tachycardia, thready lulse,…
ECF FVD... lab findings
Increased hct... BUN >25... Urine sp gravity >1.03
Fluid, Acid-Base, Electrolytes
A patient is admitted to the emergency…
When assessing a patient with fluid vo…
The nurse is caring for a patient with…
Laboratory results for a patient show…
lactated Ringer's solution (isotonic, balanced electrolyte so…
orthostatic hypotension and flat neck veins
conduct frequent neurologic checks; orient to time, place, an…
initiate cardiac monitoring
A patient is admitted to the emergency…
lactated Ringer's solution (isotonic, balanced electrolyte so…
When assessing a patient with fluid vo…
orthostatic hypotension and flat neck veins
54 terms
Fluid, Electrolyte, and Acid-Base Balance
Acidosis
active transports
alkalosis
Anion gap
a condition where cells tends to make blood relatively too ac…
sodium -potassium pump, moves sodium out of the cell and pota…
condition, blood relatively too basic ... * Respiratory alkalosi…
Difference between the concentrations of serum cations and an…
Acidosis
a condition where cells tends to make blood relatively too ac…
active transports
sodium -potassium pump, moves sodium out of the cell and pota…
11 terms
Fluid, Electrolyte, Acid Balance
Hypovolemia
Dehydration
Sodium's role
How is water distributed between fluid…
Drop in water depletion that results from blood loss or when…
the body eliminates more water than sodium
determines the volume of total body water and influences how…
depolarization
Hypovolemia
Drop in water depletion that results from blood loss or when…
Dehydration
the body eliminates more water than sodium
Fluid & Electrolyte; Acid & Base
Electrolytes
The process by which particles spread…
The movement of fluid through a select…
When the solutions on both sides of a…
substances whose molecules dissociate, or split into ions whe…
Diffusion
Osmosis
Isotonic
Electrolytes
substances whose molecules dissociate, or split into ions whe…
The process by which particles spread…
Diffusion
55 terms
Fluid/Electrolyte/Acid/Base
fluid balance
Electrolytes
ions
electrolyte balance
implies homeostasis - the total volume and distribution of wa…
substances that dissolve or break apart in water solution to…
electrically charged atoms - dissociated particles of an elec…
homeostasis or relative constancy of normal electrolyte level…
fluid balance
implies homeostasis - the total volume and distribution of wa…
Electrolytes
substances that dissolve or break apart in water solution to…
Fluid,Electrolyte, Acid Base
Intracellular
Osmosis
Hydrostatic
Intracellular; extracellular
Approximately two thirds of the body's total water volume exi…
The process of passively moving water from an area of lower p…
The nurse knows that edema in a patient who has venous conges…
The nurse understands that administering a hypertonic solutio…
Intracellular
Approximately two thirds of the body's total water volume exi…
Osmosis
The process of passively moving water from an area of lower p…
52 terms
Fluid &Electrolyte/Acid-Base
Fluid balance
Electrolytes
Non electrolytes
What is the most abundant compound in…
Homeostasis of body fluids. Required for healthy survival
Substances such as salts that dissolves or break apart in wat…
Do not break down in water
Water
Fluid balance
Homeostasis of body fluids. Required for healthy survival
Electrolytes
Substances such as salts that dissolves or break apart in wat…
5 terms
Fluid/Electrolyte & Acid Base
ICF is
Extracellular fluid is
normal saline is
hypotonic saline is
2/3, in the cell
1/3, remaining body fluid outside of cells
0.9
0.45, moving into the cell
ICF is
2/3, in the cell
Extracellular fluid is
1/3, remaining body fluid outside of cells
19 terms
Fluid/Electrolyte & Acid/Base
Acid
Base
Buffers
Hemoglobin system (buffer in extracell…
-Acids are produced as end products of metabolism... -Contain hy…
-Contain no hydrogen ions... -Hydrogen ion acceptors; they accep…
-Fastest acting regulatory system... -Provide immediate protecti…
-RBCs contain hemoglobin... -System maintains acid-base balance…
Acid
-Acids are produced as end products of metabolism... -Contain hy…
Base
-Contain no hydrogen ions... -Hydrogen ion acceptors; they accep…
28 terms
Fluid, Electrolyte, and Acid-Base
2+ pitting ankle edema
HYPERkalemia
Administering oral potassium with K+ 5…
Venous insufficiency of LE
FLUID OVERLOAD - hemodilution and DECREASED HCT (34%)
Muscle weakness - monitor muscle strength;... BRADYCARDIA... HYPOTE…
Withhold medication
When I sit down to watch TV, I'll be sure to put my feet up
2+ pitting ankle edema
FLUID OVERLOAD - hemodilution and DECREASED HCT (34%)
HYPERkalemia
Muscle weakness - monitor muscle strength;... BRADYCARDIA... HYPOTE…
Fluid, Electrolyte and acid base
How much body weight is fluid and elec…
Water and fluid have two main compartm…
Intercellular
Extra cellular fluid
40%-60%
Intercellular and etra cellular fluid
Fluid within the cell.
Outside the cell... -Interstial... -Plasma... Trans cellular
How much body weight is fluid and elec…
40%-60%
Water and fluid have two main compartm…
Intercellular and etra cellular fluid
26 terms
Fluid, Electrolyte, Acid
Body Fluids
Water (fluid) moves between ICF and…
Edema
Electrolyte Balance
Body water accounts for half of body weight... Age, gender and b…
Exchange regulated by hydrostaticand osmotic pressure... Change…
Collection of fluid in interstitial space... Increased fluid los…
Abundant in diet... Lost through sweating, feces, urine... Severe e…
Body Fluids
Body water accounts for half of body weight... Age, gender and b…
Water (fluid) moves between ICF and…
Exchange regulated by hydrostaticand osmotic pressure... Change…
fluid, electrolyte, acid base
Acid
Acidos
active transport
agglutinin
...
Condition characterized by an excess of H ions or loss of bas…
is a process that requires energy for the movement of substan…
an untidy that causes a clumping of specific antigens
Acid
...
Acidos
Condition characterized by an excess of H ions or loss of bas…
33 terms
Acid/Base & Fluid/Electrolyte
ABG values
Respiratory Acidosis
Respiratory Alkalosis
Metabolic Acidosis
pH = 7.35-7.45... PaCO2 = 35-45... HCO3 = 22-26
low pH; high CO2... Anything that causes hypoventilation (CNS d…
high pH; low CO2... Anything that involves hyperventilation (pa…
low bicarb; low pH... Caused by increased acid -- diarrhea, ren…
ABG values
pH = 7.35-7.45... PaCO2 = 35-45... HCO3 = 22-26
Respiratory Acidosis
low pH; high CO2... Anything that causes hypoventilation (CNS d…
41 terms
Fluid, Electrolyte, and Acid-Base
phosphate levels
K levels
Mg levels
Na levels
2.4-4.4
3.5-5
1.5-2.5
135-145
phosphate levels
2.4-4.4
K levels
3.5-5
Fluid & Electrolyte/Acid Base
Fluid serves as:
How does fluid leave the body?
What percentage of fluid is a baby?
About how much of a healthy adults bod…
1. transport of nutrients & waste products... 2. lubricant... 3. in…
- elimination... - skin... - feces... - urine
75%
60%
Fluid serves as:
1. transport of nutrients & waste products... 2. lubricant... 3. in…
How does fluid leave the body?
- elimination... - skin... - feces... - urine
40 terms
Fluid Electrolyte Acid Base
Body water content is greatest in... a. y…
Potassium, magnesium, and phosphate io…
Sodium balance is regulated primarily…
Water balance is regulated by control…
b. infants
a. intracellular fluid
c. excreted in urine
b. ingested... c. excreted in urine
Body water content is greatest in... a. y…
b. infants
Potassium, magnesium, and phosphate io…
a. intracellular fluid
57 terms
Electrolyte, Fluid, Acid/base
HA, drowsiness ... metabolic encephalopat…
causes of respiratory acidosis (4)
tx respiratory acidosis
hyperventilation ... circumoral paresthes…
respiratory acidosis
hypoventilation ... dec respiratory drive (trauma, drugs, myasth…
O2 therapy
respiratory alkalosis
HA, drowsiness ... metabolic encephalopat…
respiratory acidosis
causes of respiratory acidosis (4)
hypoventilation ... dec respiratory drive (trauma, drugs, myasth…
58 terms
Fluid/Electrolyte/Acid/Base
Intracellular fluid compartment contai…
Major intracellular cation?
Extracellular fluid compartment contai…
Major extracellular cation?
2/3
potassium
1/3
sodium
Intracellular fluid compartment contai…
2/3
Major intracellular cation?
potassium
120 terms
Fluid, Electrolyte, and Acid Base
T OR F: Adipose tissue is one of the m…
T OR F: The most abundant cation in in…
T OR F: Electrolytes determine most of…
T OR F: Solutes, regardless of size, a…
FALSE
FALSE
TRUE
FALSE
T OR F: Adipose tissue is one of the m…
FALSE
T OR F: The most abundant cation in in…
FALSE
Fluid, Electrolyte, and Acid Base
T OR F: Adipose tissue is one of the m…
T OR F: The most abundant cation in in…
T OR F: Electrolytes determine most of…
T OR F: Solutes, regardless of size, a…
FALSE
FALSE
TRUE
FALSE
T OR F: Adipose tissue is one of the m…
FALSE
T OR F: The most abundant cation in in…
FALSE
Fluid, Electrolyte, and Acid Base
T OR F: Adipose tissue is one of the m…
T OR F: The most abundant cation in in…
T OR F: Electrolytes determine most of…
T OR F: Solutes, regardless of size, a…
FALSE
FALSE
TRUE
FALSE
T OR F: Adipose tissue is one of the m…
FALSE
T OR F: The most abundant cation in in…
FALSE
45 terms
Fluid,Electrolyte, Acid Base
Intracellular
Osmosis
Hydrostatic
Intracellular; extracellular
Approximately two thirds of the body's total water volume exi…
The process of passively moving water from an area of lower p…
The nurse knows that edema in a patient who has venous conges…
The nurse understands that administering a hypertonic solutio…
Intracellular
Approximately two thirds of the body's total water volume exi…
Osmosis
The process of passively moving water from an area of lower p…
28 terms
Fluid, Electrolyte, Acid-Base ATI
A nurse is reviewing the ABG for four…
A nurse is caring for a client who has…
A nurse is assessing a client who has…
A nurse is caring for a client who rep…
pH 7.26, PaO2 84 mmHg, PaCO2 38 mmHg, HCO3-20mEq/L: when pH a…
Bounding Peripheral Pulses: fluid overload results in increas…
Hyperactive deep-tendon reflexes: are an expected finding for…
PaCO2: with respiratory alkalosis, the PaCO2 level is decreas…
A nurse is reviewing the ABG for four…
pH 7.26, PaO2 84 mmHg, PaCO2 38 mmHg, HCO3-20mEq/L: when pH a…
A nurse is caring for a client who has…
Bounding Peripheral Pulses: fluid overload results in increas…
11 terms
fluid electrolyte and acid base
body fluids
fluid balance
polar solvent
principle of mass balance
all the body's water based liquids
volume and concentration of the body fluids
water transporting solutes throughout the body
what is gained is also lost
body fluids
all the body's water based liquids
fluid balance
volume and concentration of the body fluids
Fluid, Electrolyte, and Acid Base
T OR F: Adipose tissue is one of the m…
T OR F: The most abundant cation in in…
T OR F: Electrolytes determine most of…
T OR F: Solutes, regardless of size, a…
FALSE
FALSE
TRUE
FALSE
T OR F: Adipose tissue is one of the m…
FALSE
T OR F: The most abundant cation in in…
FALSE
Fluid, electrolyte, acid/base
principle of mass balance
compensation
electrolytes
acid
what's gained by body must equal what's lsot
response of respiratory/kidney buffering system
Conducts electrical current... -dissociates into ions in solutio…
lower the pH... -H+ ions... -HCl
principle of mass balance
what's gained by body must equal what's lsot
compensation
response of respiratory/kidney buffering system
Fluid, Electrolyte, & Acid-Base
Sodium
Chloride
Phosphorus
Magnesium
136 to 145 mEq/L
98 to 106 mEq/L
3.0 to 4.5 mg/dL
1.3 to 2.1 mEq/L
Sodium
136 to 145 mEq/L
Chloride
98 to 106 mEq/L
37 terms
Fluid, Electrolyte and Acid-Base
Calcium
Sodium
Magnesium
Potassium
Cardiac conduction, blood coagulation, bone growth and format…
Maintains water balance, transmits nerve impulses, contracts…
Metabolism of carbs, protiens, vital actions involving enzyme…
Regulates neuromuscular excitibility, muscular contraction an…
Calcium
Cardiac conduction, blood coagulation, bone growth and format…
Sodium
Maintains water balance, transmits nerve impulses, contracts…
225 terms
Fluid, Electrolyte, and Acid-Base Balance
Approximately, ___ % of the average he…
Water is vital to health and normal ce…
What factors affect total body water?
____ have the highest proportion of wa…
60
A medium for metabolic reactions within cells.... *A transport…
Age... body fat... Sex
Infants
Approximately, ___ % of the average he…
60
Water is vital to health and normal ce…
A medium for metabolic reactions within cells.... *A transport…
85 terms
Fluid, Electrolyte,& Acid Balance
Water Loss... What are the signs and symp…
What are the bodies defensives to corr…
Renin is secreted by the kidney and pr…
Angiotensin I causes
Heart Rate... B/P and CO.... Cool dry skin, ... Weakness... Confusion... Fal…
Kidney Regulation
angiotensin I
vasoconstriction and is converted by the lung to angiotensin…
Water Loss... What are the signs and symp…
Heart Rate... B/P and CO.... Cool dry skin, ... Weakness... Confusion... Fal…
What are the bodies defensives to corr…
Kidney Regulation
Fluid and Electrolytes/ Acid base
There is caring for a client with trau…
Hypertonic solutions should be adminis…
Clients experiencing third spacing are…
Which of the fluid imbalances is a cli…
Hypotonic because these solutions move fluid into the cells c…
Intravascular volume overload and pulmonary edema because wat…
Fluid volume deficit because there has been a loss of ECF vol…
Fluid Volume Deficit
There is caring for a client with trau…
Hypotonic because these solutions move fluid into the cells c…
Hypertonic solutions should be adminis…
Intravascular volume overload and pulmonary edema because wat…
45 terms
Fluid,Electrolyte, Acid Base
Intracellular
Osmosis
Hydrostatic
Intracellular; extracellular
Approximately two thirds of the body's total water volume exi…
The process of passively moving water from an area of lower p…
The nurse knows that edema in a patient who has venous conges…
The nurse understands that administering a hypertonic solutio…
Intracellular
Approximately two thirds of the body's total water volume exi…
Osmosis
The process of passively moving water from an area of lower p…
Fluid, Electrolyte, and Acid-Base
Insensible loss: Amount and through what
Assessment of Fluid volume deficit (FV…
FVD / hypovolemia... Labs
FVD / hypovolemia... priority interventions
about 66cc/m2/day... -sweating through skin... -lungs when breathin…
-dry mucous membranes: increased thirst (early/moderate sign)…
- increased Hct (more than 3x norm): norm 36-48 ♀ 40-54 ♂ ... -i…
-fluid replacement (isotonic IVFs, blood if pt has blood loss…
Insensible loss: Amount and through what
about 66cc/m2/day... -sweating through skin... -lungs when breathin…
Assessment of Fluid volume deficit (FV…
-dry mucous membranes: increased thirst (early/moderate sign)…
52 terms
Fluid, Electrolytes & Acid-base
What is homeostatis
Regulations of fluid homeostasis... ▪Kid…
Water content of the body... H2o remai…
Factors affecting body H20
Balance of F &E, & Acid-base in body
Kidneys... ▪Major F & E regulator... ▪Distal tubule for reabsorpt…
▪Adults: 60%... ▪Children: 70 to 80% ... ▪Elderly: 50%... Women have…
▪Age... ▪Sex... ▪Body fat
What is homeostatis
Balance of F &E, & Acid-base in body
Regulations of fluid homeostasis... ▪Kid…
Kidneys... ▪Major F & E regulator... ▪Distal tubule for reabsorpt…
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