NUR 3310 EXAM 1: FLUID & ELECTROLYTE QUESTIONS AND REVISED ANSWERS

NUR 3310 EXAM 1: FLUID &
ELECTROLYTE QUESTIONS AND
REVISED ANSWERS


EFC Defecit - AnswerEtiology:

Decreased fluid intake

Prolonged fever

Vomiting

Excessive use of diuretics

Diabetes Insipidus

Hemorrhage (acute)



Treatment:

Administer hypotonic or isotonic fluids

Vasopressin, transfusion if blood loss



S&S:

Increased thirst

Dry skin and mucous membranes

Increased temperature

Flushed skin

Rapid, thready pulse

Decreased BP

Increased HCT, Na, BUN, and specific gravity



EFC Excess - AnswerEtiology:

, Heart failure

Liver failure

Malnutrition (decreased plasma protein)

Renal disease

Excessive parenteral fluids



Treatment:

Administer diuretics

Fluid restriction



S&S:

Weight gain

Crackles

Edema

Ascites

Confusion

Weakness

Increased BP

Bounding pulse

Distended neck veins



NS 0.9% NaCl - AnswerUsed to expand volume, dilute medications and keep vein open

-Isotonic



Lactated Ringers - AnswerUsed for fluid resuscitation

-Isotonic