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3rd SpacingMedical-Surgical Nursing-7th edition

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Istotonic, Hypotonic or Hypertonic? 5% dextrose in 0.45% NaCl, 3% NaCl, 25% albumin.
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Hypertonic
_______ solutions hydrates cells and decreases circulating volume by triggering osmotic fluid movement from vessels to cells.
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Hypotonic
What are signs of decreased oncotic pressure?
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Decreased CO and ascites.
_______ solutions should be administered cautiously because it causes fluid shifts from intravascular to interstitial spaces and can lead to cardiovascular collapse and increase KP.
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Hypotonic
Abdominal girth and bladder pressure should be assessed every _______.
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4-8 hours
Don't give LR to patients with a pH over _______.
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7.5 (liver converts to bicarb)
_______ solutions are ideal for hydration, doesn't trigger osmosis, and stays where it's infused.
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Isotonic
Where can 3rd spacing occur?
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Brain, lungs, abdomen, and extremities.
Intravascular to extravascular fluid movement occurs thru _______; controlled by hydrostatic and oncotic pressure.
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diffusion
_______ = movement from increased concentration to decreased. _______ = movement from decreased to increased concentration thru a membrane. _______ = against concentration from decrease to increase.
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Diffusion = increased to decreased; Osmosis = decreased to increased; Active transport = decreased to increased
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Increased lactate levels =
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Bowel ischemia or in patients with liver problems, LR administration.
_______ pressure is the pressure of fluid on blood vessel walls.
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Hydrostatic (guides diffusion)
3rd spacing treatment Continuous _______ fluids Bolus fluids _______ to help kidneys _______ to help O2 transport.
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isotonic; bolus colloids/albumin; Lasix; PRBCs
If a KUB shows _______, the patient has a pert. bowel and needs surgery ASAP.
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free air
Third spacing is a shift of fluid from _______ to _______.
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intravascular to interstitial spaces
Fluid accumulation in the abdomen can lead to intraabdominal HTN or abdominal compartment syndrome if not reversed within _______ after surgery.
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24-48 hours
The mOsm/L of an isotonic solution is between _______.
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240-340
3rd spacing causes Na+ to move _______ the cell and K+ to move _______ the cell.
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Na+ moves in; K+ moves out
What type of fluids? 25% albumin, D51/2 NS, D5LR...
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hypertonic
What type of fluids? 0.9% NS, Lactated Ringer's...
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Isotonic
Isotonic fluids typically stay in what body compartment?
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The veins.
  
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