N112 - Fluid Imbalances
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
---|---|---|---|---|---|
show | An increase in ADH will cause the kidney to retain fluid and a decrease in ADH will cause the kidney to excrete fluid.
🗑
|
||||
How does aldosterone work? | show 🗑
|
||||
How do fluid shifts occur? | show 🗑
|
||||
show | Colloid osmotic pressure is the pulling force of albumin (protein) in the intravascular space.
🗑
|
||||
What would be the result of low colloid osmotic pressure? | show 🗑
|
||||
show | A decrease in serum protein (albumin), as in malnutrition, burns or liver damage result in low colloid osmotic pressure.
🗑
|
||||
show | More water in the interstitial spaces would create a lower blood volume.
🗑
|
||||
show | An increase in capillary hydrostatic pressure will cause fluid & solutes to be forced into interstitial space or prevent colloid osmotic pressure from pulling water in.
🗑
|
||||
show | Damage to blood vessels causes proteins to leak into the interstitial space, the result is edema since the protein in the interstitial space attracts water.
🗑
|
||||
How does inflammation, burns or allergic reactions effect edema? | show 🗑
|
||||
show | Hypovolemia is sodium & water excess, occurs with heart failure. Heart failure reduces renal blood flow and causes retention of sodium & water.
🗑
|
||||
show | Weight gain, peripheral edema, distended neck & peripheral veins, bounding full pulse, polyuria, pulmonary edema, moist rales. Serum sodium levels may be normal or decreased due to dilution.
🗑
|
||||
What is hypovolemia? | show 🗑
|
||||
show | A reduced circulating blood volume can be caused by blood loss, reduced fluid intake, excessive fluid loss, fluid lost to interstitial space.
🗑
|
||||
show | Determine renal function, isotonic electrolyte solution (lactated ringers), followed by a hypotonic solution. Continue fluids, evaluate lung sounds & BP for indications of overload.
🗑
|
||||
show | Indications of fluid volume deficiency may include decreased urine, output, drop in systolic BP, weak rapid pulse, dry mucous membranes, last stages include cold, clammy skin, olguria, stupor & coma.
🗑
|
||||
show | Third spacing is a shift of fluid from the vascular bed to the interstitial space. The vascular volume is reduced, but the person will have edematous tissue.
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
jrb265
Popular Nursing sets