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Nur 352 Fluid And Electrolytes Questions And Verified Answers

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NUR 352 FLUID AND ELECTROLYTES QUESTIONS AND VERIFIED ANSWERS

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hypovolemia - too little fluid leads to extracellular volume deficit (ECV deficit)


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assessment findings:


sudden weight loss

skin tenting: dehydration


dry mucous membranes: dehydration

, vascular underload
-rapid thready pulse
-postural BP drop with concurrent HR increase
-lightheadedness
-flat neck veins when supine
-oliguria (decreased urine production = dehydration)
-syncope
-circulatory shock if severe




hypokalemia = too little potassium


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potassium in general supports nerve and muscle function; as well as
important role in muscle cells of heart
**lab value: < 3.5
NEVER give as IV push, affects the heart




hyperkalemia assessment findings


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-bilateral ascending flaccid muscle weakness
-cardiac dysrhythmias
-cardiac arrest (if severe)

treatment: D50 fluids, insulin, diuretics to increase urination and waste of
potassium, dialysis if kidney function is limited
**monitor heart!




hydrostatic pressure

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