NSG 120 FLUID AND ELECTROLYTES WITH CORRECT ANSWERS 2025

NSG 120 FLUID AND ELECTROLYTES WITH CORRECT ANSWERS 2025 _________ is needed for normal cell function Water, sodium ______ follows movement of ______ in the body fluids Sodium Wherever water goes, _____ seems to follow Homeostatic balance Body is always trying to keep fluid and electrolytes in that.... Sodium Retention of which electrolyte is associated with fluid retention; loss of this electrolyte is associated with decreased fluid volume Third spacing When too much fluid moves from the intravascular space (blood vessels) into the interstitial or "third" space-the nonfunctional area between cells - seen after surgeries Differ Electrolyte concentrations ________ in fluid compartments Osmosis Movement from a lower concentration to a higher concentration gradient Diffusion Movement from higher concentration to lower concentration Tonicity Osmolality of a solution aka how concentration a solution is True T/f if you have a fever you are loosing water Men Who dehydrate quicker, men or women? Nursing Nursing 2 Kidneys are not fully developed until the age of _____ Kids, elders Which two age groups have decreased kidney function aka takes longer for things to be metabolized Delirum Elders and fluids Fluid deficit may cause....? ADH _____ is released by the pituitary gland AHD, RAAS, and atrial natriuretic factor, hold ____________, ____________, ___________ _______ ________ all help and send signals to _________ fluid in the body 135-145 meq/L Normal sodium levels 3.5-5 meq/L Normal potassium levels 22-26 meq/L Normal bicarbonate levels Kidneys Excretion by which organs buffer ph Age, gender, lifestyle, environmental temp Name 4 factors that contribute to electrolyte imbalance Shrink When one is dehydrated the eyes will appeared __________ Pulse, RR ______ and ______ will increase or decrease depending on dehydration status Hematocrit ____________ lab value will increase if someone is dehydrated BUN, creatinine Nursing Nursing _______ lab values can give some insight to kidney function but the best lab value to look at for this would be _______ 1.005-1.030 (remember 5-30) Normal range of a urine specific gravity More dilute (aka too much water) Urine specific gravity The lower the lab value the _____ _____ one is More concentrated (darker urine, high and dry) Urine specific gravity The higher the lab value, the ________ _________ the urine is Crystalloid Crystalloid or colloid? - mineral ions dissolved in water - normal saline, lactated ringers soln - usually used to replace fluid in hypovolemia Colloid Crystalloid or colloid? - albumin soln, hyperoncotic starch, and dextran - used for temporary blood replacement until correct blood is available Isotonic fluids The following are examples of A.) Isotonic fluids B.) Hypotonic soln C.) Hypertonic soln D.) Colloids - 0.9% normal saline - lactated ringers soln: LR - 5% dextrose in water: D5W Hypotonic soln The following are examples of A.) Isotonic fluids Nursing Nursing B.) Hypotonic soln C.) Hypertonic soln D.) Colloids - 0.45% nacl: 1/2 normal saline - D5 1/2 normal saline Hypertonic soln The following are examples of A.) Isotonic fluids B.) Hypotonic soln C.) Hypertonic soln D.) Colloids - 3% nacl and 5% nacl - decrease swelling and increase ECF volume Colloids The following are examples of A.) Isotonic fluids B.) Hypotonic soln C.) Hypertonic soln D.) Colloids - dextran/albumin - volume expanders Isotonic fluids The following describes A.) Isotonic fluids B.) Hypotonic soln C.) Hypertonic soln D.) Colloids Expand plasma volume Hypotonic soln The following describes A.) Isotonic fluids B.) Hypotonic soln Nursing Nursing C.) Hypertonic soln D.) Colloids Move water from ECF to ICF Hypertonic soln The following describes A.) Isotonic fluids B.) Hypotonic soln C.) Hypertonic soln D.) Colloids Pull water from ICF to ECF Hyperkalemia, it is cardiac related Out of all of the electrolyte imbalances, what is the "most" critical and why? Pull fluid load off Diuretics FVD The following describes FVD or FVE? - loss of ECF exceeds ration of water 30 ml/hr Minimum urine per hour that would be okay is? Hypovolemia Fluid volume deficit (FVD) is also known as? Gastroenteritis Inflammation of stomach and intestines, vomitting, can lead to FVD Babies and elders Which two age categories do you worry about fluid volume deficits/fluid imbalances? Fever Febrile 8.5-10.5 mg/100 ml Calcium levels 1.3-2.3 meq