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Chapter 25 Fluid, Electrolyte, and Acid-Base Balance, Dewit 2nd edition Part 1

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
show No energy is needed. Subtances move from an area of higher concentration to an area of lower concentration.  
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Osmosis   show
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show Movement of water and suspended substances outward through a semipermable membrane.  
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show Requires energy. Move molecules and ions against a concentration gradient, from an area of lower concentration to one of higher concentration.  
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Isotonic   show
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hypertonic   show
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show When living cells are surrounded by a solution that has less solute than the cells swell from the extra fluid (overhydrate).  
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show Kidneys  
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Who is at risk for deficient fluid volume?   show
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What treatments can cause a fluid deficit?   show
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show Hyponatremia  
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show Hypernatremia  
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When the potassium falls below 3.5 mEq/L, what exists?   show
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show Hyperkalemia  
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show Cardiac Arrhythmia  
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When the calcium level drops below 8.4 mg/dL it's called?   show
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show Hypercalcemia  
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show Hypomagnesemia  
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show Hypermagnesemia  
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Hypermagnesemia is only in the presence of what condition?   show
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Name some causes of Respiratory Acidosis   show
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Name some causes of Metabolic Acidosis   show
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show Hyperventilation  
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Name some causes of Metabolic Alkalosis   show
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show The major effects is depression of the central nervous system, as evidenced by headaches, lethargy, weakness, and confusion.  
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What leads to Metabolic Acidosis?   show
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What is the major cause of Metabolic Acidosis?   show
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What does hyperventilation results in?   show
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Hyperventilation is usually caused by:   show
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What is the treatment for hyperventilation?   show
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Name some signs and symptoms fo Metabolic acidosis   show
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show Deep rapid breathing (Kussmaul's respirations) and secretion of urine with a low pH.  
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show Overexcitement of the nervous system. The patient may display restlessness, muscle twitching, and tingling and numbness of the fingers and toes.  
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What happens if Alkalosis progresses?   show
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What is the most common electrolyte imbalance people experience?   show
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show Vomiting or diarrhea, decreased secretion of aldosterone, CHF, loss of bile as a result of fistulas, drainage, gastrointestinal surgery, and suction. Loss of sodium through burn wounds, adminstration of IV fluids and liver disease with ascites.  
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show 6 to 12 g/day  
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Name some nursing interventions for hyponatremia   show
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What are the signs and symptoms for Hypernatremia? High levels of sodium.   show
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show 1)CNS changes from failure of swollen cells to transmit electrical pulses 2) Confusion 3)Anxiety 4) Anorexia 5) Nausea 6) Vomiting  
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show 1) Encourage increase fluid intake 2) Measure I&O 3)Give water between tube feedings 4) Restrict sodium intake 5)Monitor temperature.  
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