Fluid and El
A vague muscle weakness, GI hyperactivity, and parathesia of face, tongue, feet, and hands are signs and symptoms of:
Hyperkalemia
function of veins
From the body to the heart
give examples isotopic solution?
5% DW, LR, and 0.9% NS
What organs are responsible for acid base balance
Lungs and Kidney
IV therapy activities that may be delegated to an IV therapy certified LPN
Initiating peripheral access, converting an IV cannula to "locked" cannula, and monitoring blood transfusions.
What is the function of water?
Regulating body temperature, ionization of electrolytes, and acting as a solvent for variety of substances
purpose of valves
Prevent back flow
most frequently administered balanced electrolyte fluid?
Lactated Ringer
IV therapy related factors can cause variations in respiratory functions?
Fluid and electrolyte imbalance, PH change, and emboli
The intravenous fluid treatment administration course is in accordance with the guidelines enacted by the:
Missouri Rule 4 CSR 200.6010
What is the nursing objective in fluid and electrolyte imbalance?
Evaluating patient's vital signs in order to recognize disturbances and initiate appropriate intervention
Veins in the upper extremities
Digital
Metacarpal
Cephalic
Median vein
A patient has been brought into the emergency department where the physician orders a bolus of colloid solution. What types of solutions are considered to be colloids?
Albumin
High molecular weight dextran
Blood
Hetastarch (volume expander)
Which function of blood is essential to homeostasis?
Helps maintain acid-base balance
What are the threefold purpose of documenting the nursing care provided?
Creating a legal record of care provided, communicating patient status, and obtaining reimbursement for services
What are the sign and symptoms of FVE (Fluid Volume Excess)
Pulmonary edema, distended neck vein, peripheral edema, and bounding, rapid pulse
most commonly used, larger in size
Cephalic
When the cell presents with the same concentration on the inside and outside with no shifting of fluids this is called?*
what is Isotonic
An important factor affecting acid-base balance is the pH of the blood. What is a normal pH for human body?
Between 7.35 to 7.45
The formation of a clot in a vein, accompanied by inflammation is called?
Thrombophlebitis
Loss of water and electrolytes as a consequence of abnormal loss of body fluids are identified factors causing.
Fluid Volume Deficit
what comprise the structure of the skin?
Dermis, Epidermis, and Superficial Fascia
What type of fluid would a patient with severe hyponatremia most likely be started on?
Hypertonic
solutions cause cell dehydration and help increase fluid in the extracellular space.
what is hypertonic solution
Normal value for K
3.5 - 5.1mmol/L
What condition may GI suctioning and fistulas and K-depleting drugs cause?
Hypokalemia
List four of the major organs involved in homeostasis?
Heart, lungs, kidney, and adrenal glands
When administering a hyper tonic solution the nurse should closely watch for?
What is Pulmonary Edema
Which condition could lead to cell lysis, if not properly monitored? (tonicity)
What is hypotonicity
Normal Na. value
135 -145mmol/L
A client has 3+ pitting edema in their legs and potassium of 2.3 mEq/L, the nurse knows what kind of diuretic is likely to be orderd?
Spironolactone (Aldactone)
Structural components common to both veins and arteries include what?
Tunica intima, tunica media, and tunica adventitia
A patient with cerebral edema would most likely be order what type of solution?*
what is 3% Saline
HYPERTONIC solution to decrease brain swelling
The solution would remove water from the brain cells back into the intravascular system to be excreted. 3% Saline is the only hypertonic option.
fluids remove water from the extracellular space into the intracellular space.
what is Hypotonic
Normal cr level
0.8-1.3mg/dL