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Exam 1
Lecture 4 Part 1
40
Anatomy
7th Grade
09/08/2013

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Cards

Term
where is most of the body's fluid found?
what are the other two places
Definition
intracell (55%) 23L
interstitial and intravascular
Term
TBW for older children and men <70
Definition
.6 x BW
Term
TBW for woemn <70 and men > 70
Definition
.5 x BW
Term
TBW for women >70
Definition
.45 x BW
Term
why is mos tof the protein in the body negative
Definition
bc of albumin
Term
what is the dominant cation in plasma
what about anion
Definition
Na
Cl
Term
what is the dominant caiton in the intracell
what about anion?
Definition
K
Phos/Prot
Term
what is the best place to check for skin turgor?
Definition
middle of forehead
Term
what is the first sign of volume depletion?
Definition
HR goes up
Term
signs of 5% volume depletion-3
Definition
skin turgor decreased, pale skin, BP normal
Term
sings of 10% volume depletion-3
Definition
skin rugor tenting, skin color- grey, BP slight decrease
Term
signs of 15% volume depletion-3
Definition
skin turgor tenting, skin color mottled, azotemic, BP very decreased
Term
describe tilt test
Definition
person is supine for 2 min
BP and HR are recorded as pt stands for 1 min
Term
what is a postivie tilt test-22
what does this mean?
Definition
HR increase of 30 beats/min
sx of cerebral hypoperfusion (dizzy, syncope)
15% volume depeltion
Term
capilary refil delay of how mnay seconds shows 15% volume depletion
Definition
>3
Term
delayed capillary refill of how mnay seconds and other Sx predicts predicts volume depletion of 5%
Definition
>2
Term
is capillary refill more sensitive for adults or children?
Definition
children
Term
patients in shock shoudl ahve what palced to measure urine output
Definition
Foley catheter
Term
what is a great indicator of organ perrfusion? what does the person have to have for this to be true?
Definition
urine output
nromal renal function
Term
what is a nromal urine output?
what is reduced?
whaht is severely reduced
Definition
>1 mL/kg/hr
.5-1 mL/Kg/hr
<.5mL/kg/hr
Term
labs and volume depletion:
albumin; unless what?
hemoglobin; unless whaT?
Definition
decreases unless hypoalbumn
decreases unless anemic
Term
Volume depletion does what to BUN/Scr ratio
Definition
> 20:1
Term
what is the nromal number for albumin?
for hemoglobin?
Definition
5
15
Term
lactate of _ implies evere shock
Definition
4 or greater
Term
with treatment lactate should decrease by _% within 1 hr
Definition
1
Term
replacement fludis consist of:-2
Definition
inital 20ml/kg q 10 min
% fluid loss
Term
for fluid replacement wht is the shceduling:
when is this changed?
Definition
3/4 in first 24 hours
remainder over next 24-48 hours
-if CHF, cirrohis, or renal disease then use 1/2 of the above
Term
isotonic crytalloids/lactated ringers go where in the body
Definition
100% extracell
Term
hypotonic crystalloids mostly go where in the body
Definition
intracell
Term
adverse effects of lactated ringers-2
Definition
hyponatremia
hyperkalemia
Term
lactated ringers only increase lactate if-
Definition
person has liver disease (lactate usually converted to bicarb in liver)
Term
D5W is used for what volume depletion cases-2
Definition
uncomplicated dehydration
water deprivation
Term
what is the ADE of D5W
Definition
hyponatremia
Term
why is D5W not sued in fluid resucitations
Definition
bc goes in cell so fast will cause explosion
Term
what dextrose is neevr used in adults for fluid replacment?
Definition
d10w
Term
advantages of crystalloids-2
Definition
cheap, no infections
Term
disadvantages of crystalloids-2
Definition
effects not as long as colloids
need more than colloids
Term
whay is albumin used in protein colloids
Definition
bc want to get fluid from intersittial to vascular
Term
protein colloids contain what-3
Definition
albumin
plasma
whole blood
Term
when is 25% albumin used?
Definition
pt hypovolemic and swollen
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