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Exam (elaborations)

NR283 EXAM 3 ACTUAL EXAM STUDY GUIDE LATEST

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NR283 EXAM 3 ACTUAL EXAM STUDY GUIDE LATEST

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NR283
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Uploaded on
April 28, 2025
Number of pages
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Written in
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NR283 EXAM 3 ACTUAL EXAM
STUDY GUIDE LATEST
Hypokalemia

Serum potassium level of less than 3.5 mEq/L

This may lead to cardiac arrest.




Hypokalemia signs and symptoms

Cardiac arrhythmias leading to arrest

Anorexia, nausea, constipation

Fatigue, muscle twitching, weakness, leg cramps

Shallow respirations, paresthesia (numbness or tingling)

Postural hypotension (lower when standing)

Polyuria, nocturia

Elevated serum pH (greater than 7.45, or alkalosis)




Hypokalemia causes

Excessive loss due to diarrhea

Lost in urine when on certain diuretic drugs, like furosemide

Excessive aldosterone or glucocorticoids in the body (Cushing syndrome)

Decreased dietary intake (associated with alcoholism, eating disorders, and
starvation)

Treating diabetic ketoacidosis with insulin (forces potassium back into the
cell, lowering the serum potassium leve

,Hydrochloric acid (H+) function

Digestion




Hypertonic Dehydration

Characterized by

increased serum sodium and osmolality




Sodium chloride (Na+ ) function

Regulates osmotic pressure




Mg+ Magnesium chloride function

Works with muscle and nerves




Ca+ Calcium chloride function

Important for bone regulation




Hyponatremia causes



sweating

vomiting

diarrhea

,use of some medications while on a low-salt diet

hormonal imbalances

early stages of chronic renal failure

excessive water intake




Hypertonic Dehydration

Cellular Changes

Water is transported out of the cell. Solute concentration inside the cell is
lower. The cell shrinks.




What occurs during osmosis?

Water moves from an area of lower solute concentration to an area of higher
solute concentration.




Intracellular fluid (ICF)

within the cell

amount to Two-thirds of the body's fluids




Extracellular fluid (ECF)

outside the cell

amount to One-third of the fluid in the body

, Hydrostatic pressure



is the pressure exerted to push fluid from one compartment to another.




increase permeability

is described as a change in the wall of a membrane to allow more material to
pass through it.




Osmotic pressure



draws fluid from an area of higher concentration to one of lower
concentration.




Osmolarity

is a value used to describe the concentration (number of particles) within a
fluid. its determines osmotic pressure.




Hormones in fluid imbalances

are used to attract fluid or control the pressure of the vascular system.




proteins in fluid imbalances

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