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Fluid & Electrolytes Lecture
Notes from lecture
18
Nursing
Graduate
06/07/2014

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Term
Percentage of H2O in males
Definition
60% of total body weight
Term
Percentage of H2O in females
Definition
55% of total body weight
Term
Percentage of H2O in the Elderly
Definition
46-52% of total body weight
Term
Percentage of H2O in infants
Definition
70-80% of total body weight
Term
Of total body water, how much is intracellular fluid?
Definition
2/3
Term
Of total body water, how much is extracellular fluid?
Definition
1/3
Term
Of extracellular fluid, how much is interstitial?
Definition
3/4
Term
Of extracellular fluid, how much is intravascular?
Definition
1/4
Term
osmole
Definition
# of impermeable particles in a solution; these particles determine the osmotic pressure
Term
osmolalilty
Definition
# of osmoles per Kg of solvent
Term
osmolality of plasma
Definition
290-300 mosmoles/kg
Term
osmolarity
Definition
# of osmoles per liter of solvent
Term
tonicity
Definition
ability of a solution to exert an osmotic force across a membrane (hypo, hyper, isotonic)
Term
oncotic pressure
Definition
pressure produced by proteins
Term
What are the two goals of fluid and electrolyte management?
Definition
1) maintaining physiological balance of both electrolytes and fluid volume (homeostasis)
2) managing acid base balance (homeostasis)
Term
What is the end result of the goals of fluid and electrolyte management?
Definition
reduction in patient morbidity and mortality
Term
Influence of Surgery on Fluid Balance (preoperative)
(with mnemonic)
Definition
Very Big Bathroom Dookies Never Smell Fresh (well, not fresh in a good way)
-Vomiting/diarrhea/GI suction
-Burns
-Bowel Prep
-Dialysis
-NPO
-Sepsis
-Fever
Term
Influence of Surgery on Fluid Balance (Intraoperative)
(with mnemonic)
Definition
My Third Beer Is Always Very Enjoyable
-Mechanical Ventilation
-Third Spacing
-Blood Loss
-Increased ADH
-Absorption of Irrigation Fluid
-Vasodilation
-Evaporative Loss
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