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Fluid and Electrolytess
Chapter 1
38
Nursing
Undergraduate 1
08/30/2013

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Cards

Term
Functions of fluids in the body
Definition
Body temp, shape of cell, transport of nutrients, gases, wastes
Term
Who is most at risk for dehydration
Definition
  • 80% of body wt of newborn is water
  • 60% of lean adult
  • 45% of adult 60+
Term
Where are fluids located
Definition
  • intracellular
  • extracellular
    • intravascular
    • interstitial - between cells
Term
Osmosis is
Definition
fluid moves from area of low solute to area of high solute
Term
Diffusion is
Definition
solute moves from area of high solute to area of low solute
Term
Active transport is
Definition
solute moves against gradient from area of low solute to high solute(sodiumNA - potassiumK pump)
Term
Normal serum osmolarity is
Definition
  • 280-300
  • homeostasis
  • Na is chief determinant
Term
hypertonic solution is
Definition
one that has a higher concentration of solutes than another solution
Term
if the solution within a cell contains hardly any sodium but the solution outside of the cell contains a great deal of sodium, the solution outside of the cell is
Definition
hypertonic compared to the solution within the cell.
Term
An isotonic solution is
Definition
one that causes no change in cell volume
Term
Normal saline solution (NSS) is an example of an
Definition
isotonic solution because the concentration of sodium in NSS is nearly equal to that of blood.
Term
[image]
Definition
Term
[image]
Definition
Term
[image]
Definition
Term
A hypotonic solution is
Definition
one that has a lower concentration of solutes than another solution.
Term
Fluid from the _______________ would flow into the second solution in an attempt to equalize the concentration of both solutions
Definition
hypotonic solution
Term
Diffusion refers to the movement of solutes
Definition
from an area of higher concentration, through a semipermeable membrane, to one of lower concentration, until solutes are equally distributed within both areas.
Term
Both diffusion and osmosis
Definition
are passive transport processes. In other words, no energy is needed to make these processes occur.
Term
[image]
Definition
Term
During osmosis, fluids move
Definition
passively across a semipermeable membrane from areas of lower solute concentration to areas of higher solute concentrations.
Term
[image]
Definition
Term
Osmosis ceases
Definition
when adequate amounts of fluid have moved to equalize the concentration of solutes on both sides of the semipermeable membrane.
Term
Solutes such as potassium, sodium, calcium ions, hydrogen ions, amino acids, and some sugars require "___________" to move from an area of lower concentration to an area of higher concentration
Definition
active transport
Term
Fluids and solutes are forced through the walls of the capillaries via
Definition
hydrostatic pressure
Term
Movement occurs via ________________, during which blood pushes against the walls of the capillary
Definition
capillary filtration
Term
[image]
Definition
Term
A process called __________________ prevents excessive amounts of fluid from leaving the capillaries.
Definition
reabsorption
Term
When fluid leaves the capillaries, the protein ________ remains behind in the diminishing fluid volume.
Definition
albumin, Albumin is a large molecule that normally cannot pass through the capillary membrane
Term
As the concentration of ____________ increases, it acts as a magnet and pulls fluid back (reabsorption) into the capillaries.
Definition
albumin
Term
____________ is critical to the maintenance of intravascular fluid balance. ___________ is a complex substance produced by the liver.
Definition
Albumin
Term
__________ also helps to metabolize and detoxify specific substances such as bilirubin, metals, ions, hormones, drugs, and free fatty acids. It also functions as a free-radical scavenger.
Definition
Albumin
Term
Elevated albumin ?
Definition
levels are relatively uncommon, but can be triggered by dehydration.
Term
Decreased albumin levels
Definition
can be caused by a number of factors including decreased synthesis, increased catabolism, and, the most common cause, inflammation.
Term
Low albumin levels can be treated
Definition
by using either a colloid or crystalloid infusion as a replacement fluid.
Term
Antidiuretic hormone (ADH) is
Definition
also called vasopressin, is a water retainer that alters the collecting tubules' water permeability. ADH is produced by the hypothalamus but is stored and released by the posterior pituitary gland. ADH acts to restore blood volume by reducing diuresis (increased formation and excretion of urine) and increasing water retention.
Term
What happens when serum osmolality increases
Definition
  • When serum osmolality increases(also low blood volume)it notifies the pituitary gland to secrete ADH into the blood stream.
  • ADH makes the kidneys retain water
  • Water retention increases blood volume and decreases serum osmolality and urine is more concentrated.
Term
What happens when serum osmolality decreases
Definition

•The hypothalamus senses increased blood volume and decreased serum osmolality and notifies the pituitary gland to inhibit the release of ADH.

•Less water is reabsorbed in the kidneys

•Blood volume is decreased and serum osmolality increases and urine is less concentrated.

Term
The renin-angiotensin-aldosterone system helps the body
Definition
maintain a balance of sodium and water, a healthy blood volume, and a healthy blood pressure.
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