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Fluid and ElectrolytesMedical-Surgical Nursing-7th edition

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What type of IV solutions can cause hypernatremia?
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Hypertonic Solutions
In a hypervolemic situation, what does the Renin-Angiotensin system do?
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Stops.
Edema is systemic, puffiness . Swelling of face, orbits of the eyes, upper and lower extremities...
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Generalized Edema
A decrease in IVF or ECV is called...
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hypovolemia
In adults, plasma accounts for _______ to _______% of the blood volume.
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55-60%
Your patient is diagnosed with hyperaldosteronism. How could this effect the tonicity of their ECF?
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It doesn't impact toxicity because it is an isotonic gain in volume; Na+ and H2O are retained at the same rate.
What moves water from intravascular and interstitial spaces?
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Hydrostatic and oncotic pressure.
What are the signs of hypokalemia?
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Serum less than 3.5; n/v/d; dysrhythmias; abdominal distention; soft, flabby muscles.
_______ is the term used to express solutes per deciliter in urine.
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Specific gravity
Increased sodium intake, wrong IV solutions, and heart failure are common causes of...
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Hypernatremia
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The most reliable method for assessing body water is...
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change in body weight.
Insensible water losses are those that occur as the result of water that is lost via...
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breathing and sweating.
An increase in IVF is called...
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hypervolemia.
Shock, hemorrhage, dehydration, or an increase of urine output and/or diarrhea can cause...
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hypovolemia.
_______ acts on the kidneys to increase calcium reabsorption.
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PTH
The symptoms of SIADH result from _______, and include thirst, impaired taste, anorexia, dyspnea, fatigue and dulled senses.
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hyponatremia
Tapping on a facial nerve and causing a hyper-reflex of the facial muscle...
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Chvostek's Sign
Negatively charged hemoglobin attracts H+ ions...
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Protein based, acid/base control
What are the 2 main compartments in the body that house fluids?
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ICF (intra cellular fluid); ECF (extra cellular fluid).
3% NS
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hypertonic solution
Aldosterone is secreted when sodium levels are _______ or when potassium levels are _______.
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depressed; increased
  
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