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Med-Surg Exam 1 - part 2 EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS

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Med-Surg Exam 1 - part 2 EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS Med-Surg Exam 1 - part 2 EXAM QUESTIONS AND VERIFIED CORRECT ANSWERS

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Med-Surg Exam 1 - part 2

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What conditions inside the body are measured for body temperature
homeostasis?
blood electrolyte values (sodium, potassium, calcium)


blood pH


blood volume


What is homeostasis Keeping conditions inside the body as close to normal as possible.


What are homeostatic mechanisms Controls that the body has to help maintain homeostasis in order to prevent
dangerous changes.


Total body weight of water normal value is? 55-60% in healthy adults


50-55% older adults


* maintaining normal fluid volume and composition is very important to
homeostasis *


Name the compartments of distribution of body fluids Intracellular Fluid (ICF)
- Inside the cell, making up ²/₃ of body water
- Usually 28 liters of fluid
- Normal state → ICF remains in osmotic equal with ECF


Extracellular Fluid (ECF)
- Outside the cells, such as interstitial spaces (10.5 L), plasma/blood vessels (3.5 L)
and makes up ¹/₃ of body water
- Not static → ions, proteins, & nutrients are always moving across cell membranes
Transcellular Fluid (1% of the ECF compartment)
- Pleural, cerebral-spinal fluid, joints

, What is the TBW? Total body water = Sum of all fluids = 60% body weight
ICF = 40%
ECF = 20% (5% plasma, 14% interstitial, 1% transcellular)


Factors that influence the amount and distribution of body Age -
fluids older adults has less body water than younger


Gender -
males have a greater muscle mass percentage and muscle cells contain mostly
water


Amount of fat -
obese person has less total water because fat cells contain almost no water
(adipose tissue is hydrophobic)


Obligatory Urine Output 400 - 600 mL/day is the minimum amount of urine needed to excrete toxic waste
products.


* The kidney works with various hormones to maintain fluid balance when ECF
concentrations, volumes, or pressures change


Measurable Intake of Fluids are: Oral fluids
Parenteral fluids (taken through IV)
Enemas
Irrigation fluids


NOT MEASURED
Solid foods


Measurable Output of Fluids are: Urine
Emesis
Feces
Drainage from body cavities


NOT MEASURED
Perspiration
Vaporization through the lungs


Insensible Water Loss Water loss from skin, lungs, and stool. It cannot be controlled and is approx. 500 -
1000 mL/day.


What factors can impact insensible water loss? Loss increases greatly during:
Thyroid crisis
Trauma
Burns
States of extreme stress
Fever
also, when environment is hot and dry

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