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N112 Fluids Test

Enter the letter for the matching Answer
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1.
How would colloid osmotic pressure decrease?
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2.
How does inflammation, burns or allergic reactions effect edema?
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3.
What are the signs & symptoms of hypervolemia?
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4.
What is third spacing?
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5.
What would happen to the blood volume if more water stayed in the interstitial space?
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6.
What is colloid osmotic pressure?
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7.
What are causes of hypovolemia?
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8.
What would increased capillary permeability cause?
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9.
How do fluid shifts occur?
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10.
What would an increase in hydrostatic pressure cause?
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11.
What are clinical indications of fluid volume deficiency?
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12.
What would be the result of low colloid osmotic pressure?
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13.
How does ADH (antidiuretic hormone) work?
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14.
What is the treatment for hypovolemia?
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15.
How does aldosterone work?
A.
Colloid osmotic pressure is the pulling force of albumin (protein) in the intravascular space.
B.
A reduced circulating blood volume can be caused by blood loss, reduced fluid intake, excessive fluid loss, fluid lost to interstitial space.
C.
Less water would be pulled into the blood vessels from the interstitial spaces.
D.
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.
E.
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.
F.
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.
G.
An increase in ADH will cause the kidney to retain fluid and a decrease in ADH will cause the kidney to excrete fluid.
H.
Decreased vascular colloid pressure, increased capillary hydrostatic pressure, increased capillary permeability, lymph obstruction.
I.
Determine renal function, isotonic electrolyte solution (lactated ringers), followed by a hypotonic solution. Continue fluids, evaluate lung sounds & BP for indications of overload.
J.
Inflammation, burns or allergic reactions cause vasodilation and increased capillary permeability, causing both water & solutes to move into the tissues creating edema.
K.
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.
L.
A decrease in serum protein (albumin), as in malnutrition, burns or liver damage result in low colloid osmotic pressure.
M.
More water in the interstitial spaces would create a lower blood volume.
N.
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.
O.
Aldosterone causes the kidney to retain sodium & water.
Type the Question that corresponds to the displayed Answer.
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16.
Hypovolemia is due to a loss of both water & electrolytes, especially sodium.
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17.
Hypovolemia is sodium & water excess, occurs with heart failure. Heart failure reduces renal blood flow and causes retention of sodium & water.

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