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Page 1450-1457/1471-1480
1450-1457/ 1471-1480 Kozier
57
Nursing
Undergraduate 1
10/25/2012

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Cards

Term
What is the total body fluid?
Definition
40 liters in adult male weighing 70kg
Term
This balance depends on multiple physiological processes that regulate fluid intake and output, as well as the movement of water and the substances dissolved in it between body compartments?
Definition
homeostasis
Term
What is the average healthy adult's weight of water?
Definition
60%
Term
Water is vital to health and normal cellular function serving as?
Definition
medium for metabolic reactions within cells
Transporter for nutrients, waste products, and other substances
insulator and shock absorber.
means of regulating and maintaining body temperature
Term
Intracellular fluid (ICF)is found? how much total body fluid in adults?
Definition
within the cells of the body; 2/3
Term
Extracellular fluid (ECF) is found? How much total body fluid in adults?
Definition
outside the cells and accounts for about 1/3 of total body fluids
Term
What are the two main compartments of ECF?
Definition
Intravascular fluid (plasma) and Interstitial fluid
Term
Give examples transcellular fluid?
Definition
cerebrospinal, pericardial, pancreatic, pleural, intraocular, biliary, peritoneal, synovial fluid
Term
What is Intravascular fluid or plasma? Where is it found and the percent?
Definition
ECF; found within the vascular system; 20%
Term
What is Interstitial fluid? Where is it found and the percent?
Definition
ECF; found surrounding the cell; 75%
Term
This fluid is vital to normal cell functioning. It contains solutes such as oxygen, electrolytes, and glucose, it provides a medium in which metabolic processes of the cell take place?
Definition
Intracellular fluid
Term
This fluid has two compartments, it is the transport system that carries oxygen and nutrients to and waste products from, body cells?
Definition
Extracellular fluid
Term
What are charged particles called?
Definition
electrolytes
Term
What are positive charged particles called? Give examples
Definition
cations; sodium, potassium, calcium, magnesium
Term
what are negative charged particles called? Give examples
Definition
anions; chloride, bicarbonate, phosphate, sulfate
Term
The term milliequivalent refers to?
Definition
the chemical combing power of the ion, or the capacity of cations to combine with anions to form molecules.
Term
What are the principal electrolytes for ECF?
Definition
sodium, chloride, bicarbonate
Term
What is a protein-rich fluid, containing large amounts of albumin?
Definition
Plasma
Term
What are the primary cations and anions presented in ICF?
Definition
cations= potassium and magnesium
anions= phosphate and sulfate
Term
Selectively permeable means?
Definition
substance other than water move across them with varying degrees of ease. Large molecules such as glucose and proteins have difficulty moving between fluid compartments
Term
What are solutes?
Definition
substances dissolved in a liquid
Term
What are crystalloids?
Definition
salts that dissolve readily into true solutions
Term
What are colloids?
Definition
substances such as large protein molecules that do not readily dissolve into true solutions
Term
what is the component of a solution that can dissolve a solute?
Definition
solvent
Term
The concentration of solutes in body fluids is usually expressed as?
Definition
osmolality
Term
Tonicity may be used to refer to what?
Definition
osmolality of one solution in relation to another solution
Term
Isotonic solutions means?
Definition
solution has the same osmolality as ECF
Term
Hypertonic solutions mean?
Definition
higher osmolality than ECF
Term
Hypotonic solutions means?
Definition
lower osmolality than ECF
Term
Osmotic pressure is the power of a solution to pull what?
Definition
water across a semipermeable membrane
Term
Plasma proteins exert osmotic pressure called colloid osmotic pressure or oncotic pressure. What does this mean?
Definition
holding water in plasma, and when necessary pulling water from the interstitial space into the vascular compartment
Term
Diffusion occurs when?
Definition
two solutes of different concentrations are separated by a semipermeable membrane
Term
What does osmosis mean?
Definition
specific kind of diffusion in which water moves across cell membranes, from less concentrated solution to the more concentrated solution.
Term
Filtration is a process whereby?
Definition
fluid and solutes move together across a membrane from an area of higher pressure to an area of lower pressure.
Term
The pressure that results in the movement of the fluid and solutes out of a compartment is called?
Definition
filtration pressure
Term
This pressure exerted by a fluid within a closed system on the walls of the container in which it is contained is called?
Definition
hydrostatic pressure
Term
The movement of solutes across cell membranes from a less concentrated solution to a more concentrated one is called? A substance combines with a carrier on the outside surface of the cell membrane, and they move to the inside surface of the cell membrane
Definition
active transport.
Term
How much fluid intake ORALLY should a average adult drink in ML?
Definition
1200- 1500 ML
Term
How much fluid intake TOTAL should a average adult drink in ML?
Definition
2400- 2700 ML
Term
How much URINE should a average adult output in ML?
Definition
1400-1500 ML
Term
How much TOTAL should a average adult output in ML?
Definition
2300- 2600 ML
Term
What does insensible fluid losses mean?
Definition
not noticeable and cannot be measure fluid loss through lungs and skin
Term
How many ML of water loss through diffusion?
Definition
300-400 ML
Term
How much insensible loss is the water in exhaled air for normal adult?
Definition
300-400 ML
Term
What does Obligatated losses mean and how much in ML?
Definition
certain fluid losses are required to maintain normal body function; 500 ML
Term
Acid is what?
Definition
substance that releases hydrogen ions in solution
Term
Bases are what?
Definition
have a low hydrogen ion concentration and can accept hydrogen ions in solution. alkalis
Term
What are 3 simple clinical measurements that the nurse can initiate without a primary care provider's order?
Definition
daily weight, vital signs, fluid intake and output
Term
Physical assessment to evaluate a client's fluid, electrolyte, and acid-base status focuses on?
Definition
skin, oral cavity, mucous membranes, cardiovascular and respiratory systems, and neurologic and muscular status
Term
Daily weights provide what?
Definition
accurate assessment of a client's fluid status
Term
Significant changes in weight over a short time indicates what?
Definition
acute fluid changes; more than 5 pounds in a week or more than 2 pounds in 24 hours
Term
Rapid losses or gains of total body weight may indicate what? and what is the percent of total body fluid weight?
Definition
5-8% total body fluid; severe fluid volume deficits or excesses
Term
To obtain accurate weight measurements what should the nurse do?
Definition
first balance the scale, weight at the same time each day, wearing the same or similar clothing, and on the same scale?
Term
Tachycardia might be an early sign of what?
Definition
hypovolemia
Term
What are the fluids that need to be recorded (INTAKE)?
Definition
oral fluids, ice chips, foods that are or become liquid at room temp, tube feedings, parenteral fluids, IV meds, catheter or tube irrigants
Term
what are the fluids that need to be recorded (OUTPUT)?
Definition
urinary output, vomitus and liquid feces, tube drainage, wound and fistual drainage.
Term
what is the range for fluid intake and output?
Definition
1,500-2000 ML in 24 hours
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