Galen NUR 170 Exam 1: Perioperative, Comfort, Anemia, F&E, Acid-Base

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AM - GAlen 170 Exam 1 (Perioperative, Comfort, Anemia) 20-
30 (Fluid & Electrolytes, Acid Base) 20-30 Questions and
Answers Graded A+ Verified 100% Correct Graded A+
NUR 155
Best indicator for fluid volume overload?

Weight




Assessment for FVO

- Bounding + increase pulse

- High BP

- Dyspnea, crackles, edema

- Decreased hematocrit, serum sodium, and urine specific gravity




Causes of FVO

- ESRD, CHF, water intoxication, SIADH, corticosteroid therapy, rapid fluid replacement




Treatment for FVO

- Diuretics

- Fluid Restriction




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- Salt restriction

- Monitor I&O's




intracellular fluid

fluid within cells; 66%; 25 L




Extracellular fluid

- Fluid outside the cell; 33%; 15L

- Most important for homeostasis




Homeostasis

- Proper functioning of all body systems

- Extracellular (intravascular and interstitial fluid)




Fluid balance

- 2 to 3 liters a day

- urine output 400-600 ml per day

- increases during stress, fever and tachy




Fluid Volume Deficit (FVD) (dehydration)




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- Increased HR; decreased B/P

- Lethargy; decreased UOP; dry mucous membranes; constipation; thirst

- Increased hemoconcentration; BUN; sodium; urine specific gravity




Causes of FVD

vomiting, diarrhea, ileostomy, laxitives, burns, fever, diuretics, GI suctioning and NPO




Interventions of FVD

- Halt OTC

- Outdoor activity

- Weight gain/loss

- Diet habits




BUN and Creatinine are?

Kidney markers and are sensitive to decreased blood flow.




Normal BUN levels

10-20 mg/dL




Normal creatinine levels




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