Fluids& Electrolyte
Which compartment has more fluid content?
Intracellular space, 2/3 body's water
Which electrolyte is the most abundant in intracellular space?
K
Which category in the BMI chart if the pt has a calculate BMI of 19%?
Normal, healthy weight
What acid base imbalance does the pt have?
pH 7.15
pCo2 88
HCO3 22
Respiratory Acidosis
Pt's with ESRD are prone to having which electrolyte imbalance?
HyperK
Which patient populations are more sensitive to fluid imbalances?
Geriatric
Pediatric
Electrolyte imbalance when K falls below 3.5 mEq/L
Hypokalemia
Which sources do saturated vs unsaturated fats come from?
Saturated: Animal
Unsaturates: Plant
What acid base balance does the pt have?
pH 7.50
pCo2 22
HCO3 16
Respiratory Alkalosis
Waist circumference for men and women that increase risk of CV disease and metabolic syndrome?
Men >40"
Women >35"
Which electrolyte determines the osmolality of body fluids, most abundant extracellular cation?
Na
What is the normal range for Na?
135-145 mEq/L
Which macromolecule of nutrition is advised to be increased in pt's that have skim impairment?
CHON
What acid base imbalance does the pt have?
pH 7.30
pCo2 31
HCO3 12
Metabolic Acidosis
Neutropenic diet means?
No fresh, undercooked raw foods.
If K falls, Na falls? TRUE OR FALSE
FALSE
Can you bolus push K per IV? TRUE or FALSE
False
Difference between enteral and parenteral TF?
Enteral goes through GI tract
Parenteral directly into the bloodstream, may be administered through central or peripheral lines
Give me 3 etiology of why a pt will develop respiratory acidosis?
COPD
Opiod OD
Hypoventilation 2* abd sx
Apple Juice
Tea
Black coffee
Broth
Jello
Give three manifestations of fluid volume deficit?
Elevated BUN/Cr, hemoconcentration (elevated Hct), dry mucus membranes, hypotension, tachycardia, increased RR, hyperthermia, elevated urine specific gravity, concentrated urine, skin turgor less than 3 secs
Normal range for ionized Ca?
4.5-5.6 mg/dL
Which is the preferred site for central line placement in TPN?
Subclavian vein
What acid-base imbalance does the pt have?
pH 7.50
pCo2 40
HCO3 32
Metabolic Alkalosis
Give three manifestations of fluid volume excess.
JVD, tachycardia, hypertension, increased RR, peripheral pitting edema, urine dilution/polyuria, hemodilution (decreased Hct), low urine specific gravity, coolness of peripheries, crackles in the lungs