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Fluids And Electrolytes Backup

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Fluids and Electrolytes
 
 
 
 
[object Object],[object Object],Fluids
Fluid ,[object Object]
Fluids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Intracellular Fluid 40% or 2/3 Intravascular 5% or 1/4 Transcellular fluid 1-2% ie csf, pericardial, synovial, intraocular, sweat Arterial Fluid 2% Extracellular Fluid 20% or 1/3 Interstitial 15% or 3/4 Venous Fluid 3% Total Body Water
Third-space fluid shift/Third “spacing” ,[object Object],[object Object]
Fluid Movement From Pressure Changes ,[object Object],[object Object]
A. Passive Transport Process – substances transported across the membrane w/o energy input from the cell - high to low concentration
2 Types of Passive Transport ,[object Object]
[object Object],[object Object]
B. Active Transport Process ,[object Object],[object Object],[object Object],[object Object]
Types of Active Transport ,[object Object],[object Object],[object Object],[object Object]
Active Transport
[object Object],[object Object],[object Object],[object Object]
Osmosis
Osmosis Diffusion
Regulation of Body Fluid ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Atrial Natriuretic Peptide: Regulates Na+ & H2O Excretion
ADH Regulation ,[object Object],[object Object],[object Object],[object Object]
ADH Disorder ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Other Mechanisms ,[object Object],[object Object]
[object Object],[object Object]
 
Evaluation of fluid status ,[object Object],[object Object],[object Object],[object Object],[object Object]
Intake and Output ,[object Object],[object Object],[object Object],[object Object]
Sources of Fluids Fluid Intake ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2, 600 ml
Fluid Output ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2, 600 ml
I&O Imbalance ,[object Object],[object Object],[object Object],[object Object]
Causes of FVD ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Assessment of FVD ,[object Object],[object Object],[object Object]
Clinical manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laboratory ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Medical Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid Volume Excess ,[object Object],[object Object],[object Object]
Nursing Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Causes of FVE ,[object Object],[object Object],[object Object],[object Object]
Assessment of FVE ,[object Object],[object Object],[object Object],[object Object]
Clinical Manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Edema ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Laboratory ,[object Object],[object Object],[object Object],[object Object]
Medical Management ,[object Object],[object Object],[object Object],[object Object],[object Object]
Types of Fluid ,[object Object]
Isotonic Fluid - no movement of fluid.
Isotonic Fluids ,[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object]
Hypotonic Fluid - fluid will enter the cell, the cell will swell
Hypotonic Fluids ,[object Object],[object Object],[object Object],[object Object]
Hypertonic Fluid - fluid will go out from the cell, the cell will shrink
Hypertonic Fluids ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Colloid solutions ,[object Object],[object Object]
ELECTROLYTES
ELECTROLYTES ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Regulation of Electrolyte Balance ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Cations ,[object Object],[object Object],[object Object],[object Object]
SODIUM (Na) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
a. HYPERNATREMIA ,[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
b. HYPONATREMIA ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
Hyponatremia Hypernatremia
Potassium (K) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
a. HYPERKALEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],b. HYPOKALEMIA
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
CALCIUM (Ca) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
a. HYPERCALCEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
b. HYPOCALCEMIA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Magnesium Mg ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
a. HYPERMAGNESEMIA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
b. HYPOMAGNESEMIA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The Anions ,[object Object],[object Object],[object Object]
Chloride (Cl) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
a. HYPERCHLOREMIA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
b. HYPOCHLOREMIA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Phosphates (PO4) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
a. HYPERPHOSPHATEMIA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
b. HYPOPHOSPHATEMIA ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acid Base Balance
Acid Base Balance ,[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dynamics of Acid Base Balance ,[object Object],[object Object],[object Object],[object Object],[object Object]
Kidney ,[object Object],[object Object],[object Object],[object Object],[object Object]
Lung ,[object Object],[object Object],[object Object]
[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object]
ACUTE AND CHRONIC METABOLIC ACIDOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
ACUTE AND CHRONIC METABOLIC ALKALOSIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
ACUTE AND CHRONIC RESPIRATORY ACIDOSIS ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
ACUTE AND CHRONIC RESPIRATORY ALKALOSIS ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
ARTERIAL BLOOD GAS ANALYSIS Parameter Normal Value pH 7.35 – 7.45 PaCO2 35 – 45 mmHg HCO3 22-26mEq/L O2 saturation 93 - 98%
 
Evaluating ABG’s ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],Uncompensated Respiratory acidosis Compensated Respiratory acidosis pH PaCO2 HCO3 7.20 60 mmHg 24 mEq/L 7.40 60 mmHg 37 mEq/l
[object Object],Metabolic and Respiratory Acidosis pH 7.21 Dec acid PaCO2 52 Inc acid HCO3 13 Dec acid
[object Object]

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