ACUTE CARE WEEK 8 FLUID AND ELECTROLYTES
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
Question:
How do people gain fluids?
Answer:
oHealthy people gain fluids by drinking and eating oDaily I&O of water are
equal
Question:
What about IV fluids? Do nurses keep track of the IV fluid that goes in?
Answer:
-Yes, you must scan and chart they count to the I&Os
Question:
Describe risk factors for fluid imbalances and surveillance activities to
monitor for fluid volume excess and fluid volume deficit.
Answer:
-Inadequate Intake -Excessive Output -Increase Fluid -Increased
Question:
What measurement do you chart when doing I&Os?
Answer:
-When you I&Os put as mL
Question:
How do you lose fluid?
Answer:
-Through kidneys, skin, lungs and the GI tract
Question:
Describe risk factors for fluid imbalances and surveillance activities to
monitor for fluid volume excess and fluid volume deficit.
Answer:
Hypovolemia (FVD) -Inadequate Fluid Intake -Excessive Fluid Loss -Fluid
Redistribution (Third Spacing) Hypervolemia (FVE) Decreased Fluid
Elimination -Heart Failure -Kidney Failure -Liver Failure Hypervolemia (FVE)
Increased Fluid Intake -Rapid IV Infusion -High Sodium Intake
Question:
Fluid Loss for the Kidney amount
Answer:
Urine output of 1mL/kg/hr
Question:
What amount of urine should cause concern? -low amount
Answer:
Urine 1500 mL/day Notify provider if its less than 30mls/hour
, Question:
Fluid Loss for the Skin Loss amount
Answer:
Sensible due to sweating and insensible due to fever, exercise, and burns
Question:
Fluid Loss for the Lungs amount
Answer:
300 mL everyday, greater with increased RR
Question:
Fluid Loss for the GI tract amount
Answer:
Large losses due to diarrhea and fistulas
Question:
Is a fluid imbalance a concern?
Answer:
yes
Question:
Hypertonic Solution
Answer:
3% NaCl -higher concentration of solutes
Question:
Hypotonic Solution
Answer:
0.45% NaCl -Lower concentration of solutes
Question:
Isotonic Solution
Answer:
0.9 NaCl -Same concentration of solutes -Balanced
Question:
When do patient need IV fluids
Answer:
-Deflect -Electrolyte imbalance
Question:
Hypertonic
Answer:
-talks about the fluid may shift in and out the cell -For NaCL any thing above
0.9%
Question:
Lactated Ringer's Solution
Answer:
-Has an osmolarity of approximately 273 mOsm/L, which is very close to the
body's extracellular fluid osmolarity of about 280 mOsm/L.
UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS
Question:
How do people gain fluids?
Answer:
oHealthy people gain fluids by drinking and eating oDaily I&O of water are
equal
Question:
What about IV fluids? Do nurses keep track of the IV fluid that goes in?
Answer:
-Yes, you must scan and chart they count to the I&Os
Question:
Describe risk factors for fluid imbalances and surveillance activities to
monitor for fluid volume excess and fluid volume deficit.
Answer:
-Inadequate Intake -Excessive Output -Increase Fluid -Increased
Question:
What measurement do you chart when doing I&Os?
Answer:
-When you I&Os put as mL
Question:
How do you lose fluid?
Answer:
-Through kidneys, skin, lungs and the GI tract
Question:
Describe risk factors for fluid imbalances and surveillance activities to
monitor for fluid volume excess and fluid volume deficit.
Answer:
Hypovolemia (FVD) -Inadequate Fluid Intake -Excessive Fluid Loss -Fluid
Redistribution (Third Spacing) Hypervolemia (FVE) Decreased Fluid
Elimination -Heart Failure -Kidney Failure -Liver Failure Hypervolemia (FVE)
Increased Fluid Intake -Rapid IV Infusion -High Sodium Intake
Question:
Fluid Loss for the Kidney amount
Answer:
Urine output of 1mL/kg/hr
Question:
What amount of urine should cause concern? -low amount
Answer:
Urine 1500 mL/day Notify provider if its less than 30mls/hour
, Question:
Fluid Loss for the Skin Loss amount
Answer:
Sensible due to sweating and insensible due to fever, exercise, and burns
Question:
Fluid Loss for the Lungs amount
Answer:
300 mL everyday, greater with increased RR
Question:
Fluid Loss for the GI tract amount
Answer:
Large losses due to diarrhea and fistulas
Question:
Is a fluid imbalance a concern?
Answer:
yes
Question:
Hypertonic Solution
Answer:
3% NaCl -higher concentration of solutes
Question:
Hypotonic Solution
Answer:
0.45% NaCl -Lower concentration of solutes
Question:
Isotonic Solution
Answer:
0.9 NaCl -Same concentration of solutes -Balanced
Question:
When do patient need IV fluids
Answer:
-Deflect -Electrolyte imbalance
Question:
Hypertonic
Answer:
-talks about the fluid may shift in and out the cell -For NaCL any thing above
0.9%
Question:
Lactated Ringer's Solution
Answer:
-Has an osmolarity of approximately 273 mOsm/L, which is very close to the
body's extracellular fluid osmolarity of about 280 mOsm/L.
