Fluid & Electrolytes (Hurst Review)
Three matters with a number of sodium that motive vascular space to keep water -
ANS-effervescent soluble medications (ie. Alka seltzer)
canned/processed meals
IVF with sodium
A client receiving magnesium sulfate has a drop in urinary output from 180mL at 10am to
140mL at 11am. What would be the concern nursing intervention?
1. Name HCP
2. Lower the infusion
3. Prevent the infusion
four. Re-evaluate in 15 minutes - ANS-3. Stop the inufsion!
A hypertonic answer will ____ the fluid extent to the _____ _____ - ANS-a hypertonic solution
will RETURN the fluid quantity to the VASCULAR SPACE
ADH impact on fluid quantity:
hold _____ however no longer ____ - ANS-retain water but no longer sodium
ADH = H2O
ADH problems are _____ to other conditions - ANS-secondary
aldosterone is a _____ secreted via the ______ _______ - ANS-a steroid secreted by means of
the adrenal cortex
aldosterone's impact on fluid extent:
when blood extent receives _____, aldosterone secretion ______ which reasons body to
_______ sodium and water, so blood extent ______ - ANS-when blood extent receives LOW,
aldosterone secretion INCREASES which reasons frame to RETAIN sodium and water, so blood
volume INCREASES
alert for hypertonic answers:
look ahead to ____ ____ ____ - ANS-watch for fluid quantity EXCESS
display in ICU placing with frequent tracking of blood strain, pulse, and CVP
~specifically if receiving 3%NS or 5p.CNS
alert for hypotonic answers:
look ahead to _____ _____ due to the fact fluid is transferring ___ of the cells which can lead to
____ ____ ____ and ____ ____ ____ - ANS-watch for cellular edema due to the fact fluid is
moving out of the cells that can result in fluid extent deficit and reduced blood pressure
alert for isotonic solutions:
do no longer use isotonic answers in customers with ______, ____ ____, or ____ ____
these answers can purpose ___, _____, or _____ - ANS-do now not use isotonic solutions in
customers with high blood pressure, cardiac sickness or renal disease
those answers can purpose FVE, high blood pressure, or hypernatremia
ascites:
degree ________ ________ each day
worry approximately ______tension
, can motive ________ troubles - ANS-degree ABDOMINAL GIRTH every day
worry about HYPOtension
can purpose BREATHING problems
calcium gluconate - ANS-antidote for magnesium toxicity
administered IVP very slowly (max price: 1.5-2 mL/min)
causes of hypercalcemia
_________
_____
_____ - ANS-hyperparathyroidism: too much PTH = an excessive amount of serum calcium
thiazides: hold calcium
immobilization: no weight bearing leaves calcium in blood no longer bones
reasons of hyperkalemia
____ ____
_____ - ANS-kidney trouble
spironolactone: makes you maintain potassium
reasons of hypermagnesiemia:
____ ____
_____ - ANS-renal failure
antacids
reasons of hypernatremia
_____
____ ____
____ ____ - ANS-hyperventilation
warmth stroke
diabetes insipidus
causes of hypocalcemia
no longer enough ___ r/t
_______
____ ____ ____
_____ - ANS-now not sufficient PTH reasons low calcium r/t
hypoparathyroidism
radical neck dissection
thyroidectomy
reasons of hypokalemia - ANS-vomiting
NG suction
ciuretics
not ingesting
reasons of hypomagnesemia
____
____ - ANS-diarrhea
alcoholism (the large one)
-alcohol suppresses ADH & is hypertonic = dilutes blood
reasons of hyponatremia - ANS-consuming water for fluid replacement: only replaces water, not
electrolytes
Three matters with a number of sodium that motive vascular space to keep water -
ANS-effervescent soluble medications (ie. Alka seltzer)
canned/processed meals
IVF with sodium
A client receiving magnesium sulfate has a drop in urinary output from 180mL at 10am to
140mL at 11am. What would be the concern nursing intervention?
1. Name HCP
2. Lower the infusion
3. Prevent the infusion
four. Re-evaluate in 15 minutes - ANS-3. Stop the inufsion!
A hypertonic answer will ____ the fluid extent to the _____ _____ - ANS-a hypertonic solution
will RETURN the fluid quantity to the VASCULAR SPACE
ADH impact on fluid quantity:
hold _____ however no longer ____ - ANS-retain water but no longer sodium
ADH = H2O
ADH problems are _____ to other conditions - ANS-secondary
aldosterone is a _____ secreted via the ______ _______ - ANS-a steroid secreted by means of
the adrenal cortex
aldosterone's impact on fluid extent:
when blood extent receives _____, aldosterone secretion ______ which reasons body to
_______ sodium and water, so blood extent ______ - ANS-when blood extent receives LOW,
aldosterone secretion INCREASES which reasons frame to RETAIN sodium and water, so blood
volume INCREASES
alert for hypertonic answers:
look ahead to ____ ____ ____ - ANS-watch for fluid quantity EXCESS
display in ICU placing with frequent tracking of blood strain, pulse, and CVP
~specifically if receiving 3%NS or 5p.CNS
alert for hypotonic answers:
look ahead to _____ _____ due to the fact fluid is transferring ___ of the cells which can lead to
____ ____ ____ and ____ ____ ____ - ANS-watch for cellular edema due to the fact fluid is
moving out of the cells that can result in fluid extent deficit and reduced blood pressure
alert for isotonic solutions:
do no longer use isotonic answers in customers with ______, ____ ____, or ____ ____
these answers can purpose ___, _____, or _____ - ANS-do now not use isotonic solutions in
customers with high blood pressure, cardiac sickness or renal disease
those answers can purpose FVE, high blood pressure, or hypernatremia
ascites:
degree ________ ________ each day
worry approximately ______tension
, can motive ________ troubles - ANS-degree ABDOMINAL GIRTH every day
worry about HYPOtension
can purpose BREATHING problems
calcium gluconate - ANS-antidote for magnesium toxicity
administered IVP very slowly (max price: 1.5-2 mL/min)
causes of hypercalcemia
_________
_____
_____ - ANS-hyperparathyroidism: too much PTH = an excessive amount of serum calcium
thiazides: hold calcium
immobilization: no weight bearing leaves calcium in blood no longer bones
reasons of hyperkalemia
____ ____
_____ - ANS-kidney trouble
spironolactone: makes you maintain potassium
reasons of hypermagnesiemia:
____ ____
_____ - ANS-renal failure
antacids
reasons of hypernatremia
_____
____ ____
____ ____ - ANS-hyperventilation
warmth stroke
diabetes insipidus
causes of hypocalcemia
no longer enough ___ r/t
_______
____ ____ ____
_____ - ANS-now not sufficient PTH reasons low calcium r/t
hypoparathyroidism
radical neck dissection
thyroidectomy
reasons of hypokalemia - ANS-vomiting
NG suction
ciuretics
not ingesting
reasons of hypomagnesemia
____
____ - ANS-diarrhea
alcoholism (the large one)
-alcohol suppresses ADH & is hypertonic = dilutes blood
reasons of hyponatremia - ANS-consuming water for fluid replacement: only replaces water, not
electrolytes
