Shared Flashcard Set

Details

Week 1
Fluid, Electrolyte, and Acid Base Imbalances
25
Nursing
Graduate
02/06/2012

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Cards

Term
Intracellular
Definition
Inside the cell (ICF)
Term
Where is 2/3 of body water located
Definition
ICF
Term
Extracellular
Definition
Outside the cell (ECF)
Term
What are the components of ECF?
Definition
interstitial fluid/plasma/lymph
Term
Gerontologic Considerations for fluid balance
Definition
Decreased renin and aldosterone; Increased ADH and ANP; Skin is thinner so lose more water from it; Decreased thirst mechanism
Term
Fluid and Electrolyte Distribution
Definition
1. Movement is constant 2. Membranes are semipermeable
Term
Membranes are semipermeable
Definition
Water and electrolytes move easily across; Larger molecules (proteins) less able
Term
Fluid Movement
Definition
Osmosis and filtration
Term
Electrolyte Movement
Definition
Diffusion, filtration, active transport
Term
Protein Movement
Definition
Hydrostatic and oncotic pressure
Term
Primary ICF Cation
Definition
Potassium
Term
Primary ICF Anion
Definition
Phosphorus
Term
Primary ECF Cation
Definition
Sodium
Term
Primary ECF Anion
Definition
Chloride
Term
Body weight is composed of what percentage of water as an adult
Definition
60%
Term
Increased ECF Osmolality
Definition
Increased sodium; WATER DEFICIT; will pull water out of the cell causing cell shrinkage
Term
Decreased ECF Osmolality
Definition
Decreased sodium; WATER EXCESS; will put water into cell causing cellular swelling
Term
Thirst mechanism is regulated by
Definition
ADH
Term
ADH
Definition
1. Stimulated by stress, nausea, nicotene, morphine 2. Keeps you from releasing your fluids 3. Secreted when increase in plasma osmolality (water deficit) 4. Suppressed if decrease in plasma osmolality
Term
What does alcohol do to ADH
Definition
Suppresses secretion - which causes you to lose a lot of water
Term
What is a major determinant of fluid balance?
Definition
STRESS
Term
ANP and BNP
Definition
Measured in people with heart problems (measures heart failure); Suppresses ADH and Aldosterone; Promotes excretion of water and sodium
Term
Isotonic
Definition
Concentration of solutes/solvent is equal
Term
Hypotonic
Definition
Concentration of solutes is lower than the solvent (fluid is dilute)
Term
Hypertonic
Definition
Concentration of solutes is higher than the solvent (fluid is more concentrated - like pee in the morning)
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