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Terms
Water-I need Water!
Electrolyte and PH imbalances & Clinical Manifestations
I must be missing something
I lost my balance
100

DOUBLE JEOPARDY!! HOW MUCH WILL YOU WAGER? 

The movement of water through a semipermeable membrane from an area of lower concentration of solutes to an area of higher concentration of solutes

What is osmosis?
100

DOUBLE JEOPARDY! HOW MUCH WILL YOU WAGER? 

Two ions that increased when serum osmolality is elevated?
What is Sodium and Chloride?
100
An electrolyte that can cause Peaked T waves when elevated?
What is Potassium?
100

Postural hypotension, Nausea and vomiting, headache, short-term memory loss, confusion, lethargy, fatigue, loss of appetite, irritability, muscle weakness, spasms or cramps, seizures, and decreased consciousness or coma.

Are all s/s of what electrolyte imbalance? 

What is sodium or hyponatremia 

100

DOUBLE JEOPARDY!! HOW MUCH WILL YOU WAGER? 

3% Saline is very hypertonic. What physiologic conditions are early indicators of complications from infusing the solution too quickly?
What is LOC & Lung sounds, serum Na levels? 


These are early s/s of sequelae and priority nursing interventions.  Cellular dehydration and vascular volume overload will occur, as fluids leave the cells and enter the vascular space. Serum sodium will go up.

200

Describes the excess accumulation of fluid in the

interstitial spaces, which we also call _______? 

What is Second spacing or edema?
200
About 3 liters of fluids for men 

About 2 liters of fluids a day for women 

About 20 % should come from food and the rest from drinks. This describes what daily requirement?

What is the average adult's Fluid intake?
200
The following clinical manifestations result from what type of Calcium electrolyte imbalance? 1. Muscles are flabby 2. Deep pain over bony areas 3. Kidney stones 4. signs of heart block

What is the imbalance.

What is Hypercalcemia? >11.0 mg/dl (9.0-11.0 mg/dl)
200

DOUBLE JEOPARDY!! HOW MUCH WILL YOU WAGER? 

Chvostek's sign and Trousseau's sign

What is hypocalcemia? 

Tests for tetany- 

1.  Carpopedal spasm (BP cuff inflation to arm 20 mm/hg 1-5 min) 

2.   facial muscle twitching

200
Ascites is categorized as what type of edema? 
What is third spacing?
300

DOUBLE JEOPARDY!! HOW MUCH WILL YOU WAGER? 

Cardinal sign of Refeeding syndrome related to electrolyte imbalances

What is hyperphosphatemia?
300

Location of the thirst-control center.

What is the hypothalamus?
300
These are all s/s of what electrolyte deficit 

 1. NVD and abdominal cramps 

2. Tachycardia, hypotension 

3. Muscle weakness 

4. Dry Pale skin and mucous membranes

What is dehydration with moderate hyponatremia <135 meq/l 
300
Name 5 clinical conditions causing hypokalemia
What is Diarrhea, Vomiting, Gastric NGT suction, Diuretics, Surgery, burns, Trauma, starvation or prolonged NPO status?
300
IV Solution 0.02% NACL infusing at 50 ml/hr is a hypotonic solution. 

What is the nursing priority when monitoring the patient's condition; 1. Urine Output 2. Level of consciousness 3. Edema

What is LOC?


This is the earliest s/s 

400
millequivalents per liter (mEq/L)
What is electrolyte values?
400
Occurs through excessive vomiting & diarrhea or hemorrhage.
What is hypovolemia?
400

DOUBLE JEOPARDY: HOW MUCH WILL YOU WAGER? 

Increased tendon reflexes, Tremors, Flat or inverted T wave.

 These are all symptoms of a magnesium imbalance, What is the imbalance r/t these symptoms?

What is Hypomagnesemia (1.5-2.5 mEq/L)
400
Body weight is an important tool for assessing fluid balance. A loss of gain of 2.2 pounds of body weight is equal to how much water in liters?
What is 2.2 pounds equals one liter of fluid?
400
A decrease in hydrogen ions or an excess amount of blood buffer (bicarbonate) causes what medical condition?
What is alkalosis?
500

This occurs when fluid accumulates in areas that normally have no fluid or minimal amount of fluid, such as with ascites, and edema associated with burns. In extreme cases this condition can cause a relative hypovolemia. 

What is Third Spacing
500
Hormones that regulate fluid balance by regulating Na and H2O
What are ADH and Aldosterone?
500
An increase in concentration of the hydrogen ions makes plasma serum more_________ and a decrease in the body's _____ level?
What is acidic, pH?
500
Normal Saline, 5% dextrose in water, Lactated Ringers are categorized as what type of solution?
What is Isotonic?
500

DOUBLE JEOPARDY!! HOW MUCH WILL YOU WAGER? 

The result of shallow respirations.

What is respiratory acidosis?