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Fluid and Electr
Fluid and Electro
Question | Answer |
---|---|
What are the 4 functions of water | Transportation, Heat Regulation, Maintenance of Hydrogen (H+) balance, & Medium for the enzymatic action of digestion. |
Hydrogen determines... | How much acid is in the body |
Medium for the enzymatic action of digestion serves as | A median for digestion |
Intracellular makes up ____ of total body fluid? | 2/3 |
Intracellular is high in what content? | Potassium (K+) |
Most cell walls are permeable to | Water |
Intracellur is located where and provides what? | Located primary in skeletal muscle mass, and provides nutrients for metabolism. |
Intracellular is | Fluid contained within the cell walls |
Extracellular makes up about ___ of total body water | 1/3 |
Extracellular transports | Water, nutrients, oxygen, waste products to and from the cells. |
Extracellular is regulated by... | The renal, metabolic and neurologic factors |
Extracellular is high in | Sodium (Na +) |
What are the 3 compartments of ECF: | Interstitial, Intravascular, and Transcellular |
What is intravascular | Fluid within the blood vessel |
Intravascular consists of | Plasma and fluid within the blood cells (RBC's, WBC's, & PLT's) |
What does intravascular contain and what color is it? | Plasma, proteins, electrolytes, and H2O. It is clear in color |
What is interstitial fluid | Fluid in the spaces surrounding the cells |
Interstitial fluid is high in what content? | Sodium (Na+) |
Intertitial fluid is a great... | Medium to transport nutrients and wastes to and from the ICF and ECF |
What is the biggest extracellular ion in the blood? | Sodium (Na+) |
Transcellular fluid consists of: | Aqueous humor, Saliva, Cerebrospinal fluid, Pleural, Peritoneal, Synovial, Pericardial fluid, GI secretions, & fluid in the urinary and lymphatic systems. |
Aqueous humor: | Fluid behind the eye |
Saliva: | Fluid in the mouth |
Cerebrospinal Fluid: | Fluid in the brain and spinal cord |
Pleural | Fluid between the lung and chest wall |
Peritoneal | Abdominal Cavity |
Synovial | Around the joint |
Pericardial Fluid | Around the heart |
GI Secretions | Secretions from the GI |
The control of fluid balance is managed by: | Thirst mechanism, Antidiuretic hormone, Aldosterone and Atrial natriuretic peptide, & Barorecptors in the carotid sinus and aortic arch. |
How does the thirst mechanism work? | Osmoreceptors in the hypothalamus sense the internal enviroment and promote the intake of fluid when needed. |
What does ADH control and cause? | It controls how much fluid leaves the body in the urine. It causes reabsorption of water from the kidney tubles |
What does Aldosterone and ANP do? | Regulates the reabsorption of water and sodium ions from the kidney tubules, usually when trauma occurs |
What does Baroreceptors do? | Detect pressure changes indicating an increase or decrease in blood volume. They stimulate the sympathetic or parasympathetic nervous system to return the pressure to normal. |
Movement of fluid and electrolytes occur by what 2 types of transports? | Passive and Active Transport |
What are the type(s) of passive transport | Diffusion, Osmosis, Isotonic, Hypertonic, Hypotonic, Osmotic pressure, Filtration and hydrostatic pressure |
What is an example of Active transport | Sodium pump & ATP |
Diffusion: | Is the process by which substances move back and forth across the membrane until they are evenly distributed throughout the available space until homeostasis is achieved. Also, a random movement of solutes from high to low concentrations. |
How does diffusion occur? | Spontaneously |
Hydrostatic pressure: | Pressure exerted by fluid within the capillaries, which causes fluid to press outward on the vessel. |
Osmosis | Movement of water only across a semi-permeable membrane. |
Water diffues by | Osmosis. |
What is the movement of Osmosis | From lower to higher concentration (WATER ONLY) |
What is the purpose of semipermeable membranes? | Seperates the exchange of fluids, allows some particles to pass through but not others |
Water follows | Salt |
The direction of flow depends on? | Glucose, oxygen, CO2, H2O, and other small ions. All move by diffusion |
What is osmolality? | Concentration of the solution determined by the number of solutes in it. |
What is the greatest contributor to osmolality and why? | Sodium (Na+) and due to its abundance in fluids |
Which non-electrolytes can affects osmolality too? | Protein, Urea, Glucose, Creatinine and Bilirubin |
What is the normal osmolality of body fluids range: | 280-294 milliosmols per kg Higher: HypertonicLower: Hypotonic |
Filtration | Is the movement of water and solutes outward through a semipermeable membrane |
Where does filtration occur? | In the kidneys eliminating waste substances and excess water. |
What is Hypertonic IV Fluid | Expands plasma volume by drawing H2O away from tissues and cells |
What is the effect of Hypertonic Fluid | Cells shrink and dehydrate |
What do you monitor for with Hypertonic fluid and what would you use it for? | HTN To help get rid of edema |
What are the types of Hypertonic IV Fluids: | 3% NaCl, D5NS, D5 1/2, D10W |
Hypotonic IV fluid | Water moves from plasma (intravascular space) to interstitial space to intracellular space. Too much salt, dehydrated |
What would you monitor pts for with Hypotonic IV fluids | Hypotension and Peripheral edema |
What is the effect of Hypotonic fluids | Cells swell from overhydration (It causes a decrease in plasma volume) |
What type of IV fluid would you use for Hypotonic | 0.45% NaCl (half normal saline)and D5 1/4 NS |
Isotonic fluids are of | Equal concentration of solutes to water and it just increases volume |
What are some examples of Isotonic IV fluids | 0.9% NaCl, D5W, & LR |
What posititon would your pt be in with isotonic? | Semi-fowlers or Fowler'sBecause of the potential for fluid volume overload |
What does D5W help treat and how | Hypernatremia (too much salt) and dilutes the salt |
What is D5W made up of | Sugar and H2O |
Does D5W contain electrolytes | NO |
If D5W provides water and calories what type of pt should you be careful with | Diabetics |
LR (Lactated Ringers) is what type of solution | Isotonic |
What does LR resemble | The electrolyte composition of the normal blood serum and plasma |
A pt who is getting LR may need | Additional potassium (K) replacement |
When is LR generally used | Surgery, lower GI losses and burns |
What type of IV fluid is 0.9% NaCl | Isotonic |
What does 0.9% NaCl replace and restore | Replaces NaCl deficit and restores/expands extracellular fluid volume |