Nur 265: F & E Everything you need to know and TEST 1
0.9% NaCl (Normal Saline) Administered to treat:
• Low extracellular fluid (fluid volume deficit) - hemorrhage, sever
diarrhea, and heavy drainage from GI suction, fistulas, or wounds.
• shock, mild hyponatremia, metabolic acidosis (such as diabetic k
hypercalcemia
• The fluid of choice for resuscitation efforts
• The only fluid used with administration of blood products.
• Should be used cautiously in certain patients, such as those with
disease, because of the potential for fluid volume overload. Can c
hypokalemia
acid-base balance depends on chemical reactions, accomplished by keeping pH wit
has narrowest range of normal with the tightest control mechanis
electrolytes
Acid-Base balance changes interfere with many normal functions by changing shape of hormo
enzymes
changing distribution of other electrolytes, causing fluid and elec
imbalances
changing excitable membranes
decreasing effectiveness of many hormones and drugs
, Nur 265: F & E Everything you need to know and TEST 1
Acidosis vs Alkalosis Acidosis is low pH
Alkalosis is High pH
caused either by respiratory or metabolic
Acids release hydrogen ions when dissolved in H20
an acid increase free hydrogen
strong acids dissociate completely
substance that donate H= to a base
hydrochloric acid, nitric acid, ammonium ion, lactic acid, acetic ac
acid
Additional s/sx of hypercalcemia (2) Bones are brittle
kidney stones
Additional s/sx of hypermagnesemia (3) Flushing
Warmth
Magnesium makes you vasodilate
, Nur 265: F & E Everything you need to know and TEST 1
Albumin (Normal Value) 3.5-5 g/dL
• Function - Nutritional status, transport medication, binds with ele
hydrostatic/oncotic pressure in blood vessels
• If low, then patient is dehydrated, malnourished with low blood p
Aldosterone is produced as the result of what? Renin-angiotensin mechanism acts to regulate fluid volume
ALWAYS assess ____ before/during IV potassium ALWAYS assess URINE OUTPUT before/during IV potassium admi
administration! (Need good UO - if UO drops,
they may be retaining K+)
ALWAYS put IV potassium on a _____ ALWAYS put IV potassium on a PUMP
Any IV solution with additives in it (ex: potassium) must on a machine
be...
Any time you give IV insulin, worry about ______ Any time you give IV insulin, worry about HYPOKALEMIA (insulin
and potassium into the cell)
, Nur 265: F & E Everything you need to know and TEST 1
As an intracellular electrolyte, what does Magnesium do? Responsible for enzyme reactions, neuromuscular contractions, n
functioning of nervous and cardiovascular systems, protein synthe
and Potassium ion transportation.
As an intracellular electrolyte, what does Phosphate do? Responsible for energy metabolism
As an intracellular electrolyte, what does Potassium do? Responsible for cell excitability, nerve impulse conduction, resting
potential, muscle contraction, myocardial membrane responsiven
intracellular osmolality.
K is also depolarization and generation of action potentials and re
synthesis and glucose use an storage Very important for cardiac c
Athetoid Movement A movement disorder characterized by an inability to maintain the
tongue, or other body parts in a stable position, resulting in conti
sinusoidal, and flowing involuntary movements.
0.9% NaCl (Normal Saline) Administered to treat:
• Low extracellular fluid (fluid volume deficit) - hemorrhage, sever
diarrhea, and heavy drainage from GI suction, fistulas, or wounds.
• shock, mild hyponatremia, metabolic acidosis (such as diabetic k
hypercalcemia
• The fluid of choice for resuscitation efforts
• The only fluid used with administration of blood products.
• Should be used cautiously in certain patients, such as those with
disease, because of the potential for fluid volume overload. Can c
hypokalemia
acid-base balance depends on chemical reactions, accomplished by keeping pH wit
has narrowest range of normal with the tightest control mechanis
electrolytes
Acid-Base balance changes interfere with many normal functions by changing shape of hormo
enzymes
changing distribution of other electrolytes, causing fluid and elec
imbalances
changing excitable membranes
decreasing effectiveness of many hormones and drugs
, Nur 265: F & E Everything you need to know and TEST 1
Acidosis vs Alkalosis Acidosis is low pH
Alkalosis is High pH
caused either by respiratory or metabolic
Acids release hydrogen ions when dissolved in H20
an acid increase free hydrogen
strong acids dissociate completely
substance that donate H= to a base
hydrochloric acid, nitric acid, ammonium ion, lactic acid, acetic ac
acid
Additional s/sx of hypercalcemia (2) Bones are brittle
kidney stones
Additional s/sx of hypermagnesemia (3) Flushing
Warmth
Magnesium makes you vasodilate
, Nur 265: F & E Everything you need to know and TEST 1
Albumin (Normal Value) 3.5-5 g/dL
• Function - Nutritional status, transport medication, binds with ele
hydrostatic/oncotic pressure in blood vessels
• If low, then patient is dehydrated, malnourished with low blood p
Aldosterone is produced as the result of what? Renin-angiotensin mechanism acts to regulate fluid volume
ALWAYS assess ____ before/during IV potassium ALWAYS assess URINE OUTPUT before/during IV potassium admi
administration! (Need good UO - if UO drops,
they may be retaining K+)
ALWAYS put IV potassium on a _____ ALWAYS put IV potassium on a PUMP
Any IV solution with additives in it (ex: potassium) must on a machine
be...
Any time you give IV insulin, worry about ______ Any time you give IV insulin, worry about HYPOKALEMIA (insulin
and potassium into the cell)
, Nur 265: F & E Everything you need to know and TEST 1
As an intracellular electrolyte, what does Magnesium do? Responsible for enzyme reactions, neuromuscular contractions, n
functioning of nervous and cardiovascular systems, protein synthe
and Potassium ion transportation.
As an intracellular electrolyte, what does Phosphate do? Responsible for energy metabolism
As an intracellular electrolyte, what does Potassium do? Responsible for cell excitability, nerve impulse conduction, resting
potential, muscle contraction, myocardial membrane responsiven
intracellular osmolality.
K is also depolarization and generation of action potentials and re
synthesis and glucose use an storage Very important for cardiac c
Athetoid Movement A movement disorder characterized by an inability to maintain the
tongue, or other body parts in a stable position, resulting in conti
sinusoidal, and flowing involuntary movements.
