Adult Health I
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| is responsible for the reduction of urine production | show 🗑
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| show | renin
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| show | aldosterone
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| show | hypovolemia
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| show | dehydration
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| show | hyperventilation, diabetic ketoacidosis, and enteral feeding without sufficient water intake
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| show | GI losses, skin losses, renal losses. third spacing (burns, ascites, obstruction), hemorrhage, and altered intake
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| show | LOW
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| hgb and hct are ____ during dehydration | show 🗑
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| serum osmolarity, sp. gravity, serum sodium are all ___ during dehydration | show 🗑
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| common vital signs for hypovolemia and dehydration are: | show 🗑
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| show | hypervolemia
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| show | overhydration
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| show | water replacement without electrolyte replacement such as strenuous exercise with profuse diaphoresis
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| show | chronic stimulus to the kidney (heart failure, cirrhosis, glucocorticosteriods), abn renal function, fluid shifts (burns, hypertonic fluids), age-related changes, excessive sodium intake
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| hgb and hct are ___ with overhydration | show 🗑
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| serum osmolarity and serum sodium are ___ with overhydration | show 🗑
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| show | HIGH
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| what are vital signs for overhydration and hypervolemia? | show 🗑
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| what position is best for pt with overhydration or hypervolemia? | show 🗑
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| show | fowler's
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| show | on back with legs elevated
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| major electrolyte found in EFC | show 🗑
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| essential for the maintance of acid-base balance, active and passive transport mechanisms, and maintaining irritability and conduction of nerve and muscle tissue | show 🗑
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| normal sodium values | show 🗑
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| show | potassium
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| plays vital role in cell metabolism, transmission of nerve impulses, functioning cardiac, lung, and muscle tissues, and acid-base balance | show 🗑
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| ___ has reciprocal action with sodium | show 🗑
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| normal potassium values | show 🗑
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| normal calcium values | show 🗑
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| show | 1.3-2.1
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| is a gain of water or the loss of sodium-rich fluids | show 🗑
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| show | hyponatremia
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| water moves from ECF into the ICF | show 🗑
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| show | abn GI losses, renal losses, skin losses, > or normal ECF volume, edematous state (heart failure, cirrhosis), excessive hypotonic IV, age-related factors
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| vital signs of hyponatremia | show 🗑
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| show | hypernatremia
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| cells are dehydrated with ___ | show 🗑
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| show | water deprivation, excessive Na intake, excessive Na retention, fluid losses, age-related changes
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| show | hyperthermia, tachycardia, orthostatic hypotension
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| show | hypokalemia
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| risk factors for hypokalemia | show 🗑
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| show | alkalosis state
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| vital signs for hypokalemia | show 🗑
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| show | potassium
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| show | tissue irritant
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| is the result of > intake of K, movement of K out of the cells, or inadequate renal excretion | show 🗑
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| risk factors for hyperkalemia | show 🗑
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| show | acidosis
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| vital signs for hyperkalemia | show 🗑
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| foods with potassium | show 🗑
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| risk factors for hypocalcemia | show 🗑
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| + chvostek's sign and + trousseau's sign | show 🗑
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| show | < heart rate, hypotension, dysrhythemia
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| what food has high calcium and magnesium? | show 🗑
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| risk factors for hypomagnesmia | show 🗑
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| show | acidic, LOW
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| lesser concentration of H+ ions the more ____ the body fluids are with a ___ pH | show 🗑
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| show | compensation
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| occurs when pH returns to normal | show 🗑
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| show | partial compensation
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| risk factors for respiratory acidosis | show 🗑
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| risk factors for respiratory alkalosis | show 🗑
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| risk factors for metabolic acidosis | show 🗑
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| show | base excess, acid def (loss of GI secretions from vomiting or suction and K+ depletion due to diuetics, laxatives, cushings syndrome)
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| vital signs and cardiovascular for resp acidosis | show 🗑
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| vital signs and cardiovascular for resp alkalosis | show 🗑
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| show | bradycardia, tachypnea, hypotension, dysrhymias
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| vital signs and cardiovascular for metabolic alkalosis | show 🗑
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| show | tetany and convulsions
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| show | tetany and muscle weakness
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| show | respiratory acidosis/alkalosis
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| show | metabolic acidosis/alkalosis
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| show | lisinopril (prinivil)
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| normal ionized Ca values | show 🗑
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| show | 22-26
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| normal CO2 values | show 🗑
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| show | + or - 2
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| normal range for PaO2 | show 🗑
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| show | 95-100%
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| normal Chloride values | show 🗑
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| show | 1.5-2.5
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| show | 2.8-4.5
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| normal serum osmolality values | show 🗑
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| movement of solvent across semipermeable membrane from an area of LOWER concentration to an area of HIGHER concentration | show 🗑
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| show | osmosis
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| movement of solute in a solution across semipermeable membrane from an area of HIGHER concentration to an area of LOWER concentration | show 🗑
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| during diffusion, what effects the movement? | show 🗑
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| show | filtration
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| show | edema
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| show | active transport
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| average adult fluid intake | show 🗑
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| where is the antidiuretic hormone stored? | show 🗑
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| show | response to changes in blood osmolarity
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| show | antidiuretic hormone
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| show | renal perfusion
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| show | renin
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| show | renin
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| show | massive vasoconstriction of vessels and relocates and increases blood flow to kidneys to improve perfusion
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| show | adrenal cortex in response to increase plasma K+ levels ot when helping counteract hypovolema
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| show | atrial natriuretic peptide
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| show | from atrial cells of heart in response to atrial stretching and an increase in circulating blood vloume
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| show | 2200-2700
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| show | kidneys (then lungs, skin, GI)
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| show | magnesium
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| where is 50-60% of Mg found? | show 🗑
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| show | potassium
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| show | buffer
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| regulated by lungs | show 🗑
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| show | HCO3
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| show | 7.35-7.45
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| what are the 3 acid-base regulators? | show 🗑
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| largest chemical buffer in ECF | show 🗑
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| show | H+ ions
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| show | CO2
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| show | lungs and kidneys
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| show | < 35
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| show | > 45
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| show | metabolic acidosis
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| when bicard is > 26 _____ | show 🗑
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| show | pH- >7.45-----------PaCO2- norm or >45---------PaO2-norm----------O2 sats-norm------------HCO3---->26-------ionized Ca+----<4.5------------K+- <3.5
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| show | pH- <7.35--------PaCO2- norm or <35------PaO2- norm--------O2 sats- norm-----HCO3- <22------K+- >5
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| show | pH- >7.45------PaCO2- <35-----PaO2-norm-----O2 sats- norm------HCO3- <22----ion Ca+- <4.5-----K+- <3.5
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| show | pH- <7.35------PaCO2- >45--------O2 PaO2- norm or <80----sats- norm or <95%-------HCO3- norm or >26-----K+- >5.0
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| show | Na (sodium)
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| polydipsia | show 🗑
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| show | antidiuretic hormone
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| show | go, go, go prob with antidiuretic hormone
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| disorder that holds in too much fluid b/c if inappropriate amount of antidiruetic hormone | show 🗑
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