Clinical Perspectives F.A. Davis (FINAL)
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The serum _________ level is used to evaluate an individuals nutritional level -
CORRECT ANSWER-albumin
isotonic solution - CORRECT ANSWER-- no shift
0.9% NaCl "normal saline"
TX
keep an open IV
with blood transfusion
hypotonic solution - CORRECT ANSWER-- add water to the bloodstream causing a
fluid shift form the ECF to ICF
0.45% "half normal saline"
, TX
dehydration
hypertonic solution - CORRECT ANSWER-- add solutes to th ebloodstrea, causing a
fluid shift from ICF to ECF = shrinking cells
mannitol
TX
cerebral edema
IV solution similar to blood ___________ ____________ - CORRECT ANSWER-Lactic
ringers "LR"
NEVER BOLUS K+ - CORRECT ANSWER-Will cause cardiac arrest
IV K+ must be diluted (40 mEq through a central venous line) - emergent
__________ and _________ are often used together to treat heart failure. However this
can lead to Hypokalemia and __________ tox and arrhythmia - CORRECT ANSWER-
Digitalis and hydrocholothiazide
Digitalis
An aldosterone antagonist that causes the retention of K+ - CORRECT ANSWER-
spironolatone
Hyperkalemia - CORRECT ANSWER->5.2
Hypokalemia - CORRECT ANSWER-<3.5
Food high in K+
OJ, banana, dried fruit, meats
PO RX 20-60 mEQ/day
Fluid and Electrolyte imbalance - CORRECT ANSWER-
S/S Fluid Volume Deficit - CORRECT ANSWER-Dark urine with high specific gravity
Dry mucous membrane
Low urine output
Ortho Hypo
Poor skin turgor
Thirst
WT loss