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DEFINE FLUID VOLUME EXCESS
Fluid in the Vascular Space
Another name for fluid volume excess is?
What are 3 causes of hypervolemia?
- Heart Failure
- Renal Failure
- Medications with High Sodium
In heart Failure the heart is strong or Weak?
If the heart is in Heart failure, the cardiac out put (CO) is up or down?
In heart failure the kidney perfusion: increases or decreases?
In heart failure, the Urine out put: increases or decreases?
In heart failure where does the volume stay?
In the Vascular Space
What is renal failure?
When the kidney's are failing.
What do these medications have in common. Alka-Seltzer, Fleet Enema, IVF with Na (Sodium)?
They all have a lot of sodium
Which hormone helps regulate fluid Volume?
What is aldosterone?
Steroid or Mineraloccorticoids.
Where is aldosterone found?
Adrenal glands, (On top of the kidney's)
When does aldosterone secretion increase?
when blood volume gets low
What causes blood volume to get low?
What happens when aldosterone secretion increases?
- RETAIN SODIUM & Water
- & Blood Volume Goes Up
Name 2 diseases with to much aldosterone
- Cushings Syndrome
- (Hyperaldoseterone) Conn's Syndrome
Name a disease with too little aldosterone
Addisons (Losing SODIUM & Water)
What is ANP?
Atrial Natruiuretic Peptide
Where is ANP found?
Atria of the heart
How does ANP work?
- The opposite of aldosterone.
- Meaning it causes excretion of Sodium and water.
What is ADH?
ADH normally makes you retain or Diurese?
What happens when the patient has too much ADH? & what is it called?
- Retain water
- Fluid Volume EXCESS
- SIADH (Syndrome of Inappropriate ADH Secretion)
Another way to remember SIADH?
To many Letters TOO MUCH H20 (Water)
The urine of a patient with SIADH is?
- Concentrated MAKES THE NUMBERS GO UP!
- Urine is decreased...
The Blood of a patient with SIADH is?
Diluted SO NOTICE THAT IT MAKES THE NUMBERS GO DOWN
What happens when the patient does not have enough ADH?
- LOSE WATER (DIURESE)
- Fluid Volume DEFICIET.
- Diabetes Insipidus.
Another way to remember Diabetes Insipidus is remember DI, for what?
- Urine is Diluted INCREASE IN AMOUNT
- Blood is concentrated #'s will go up?
Which labs do you monitor for ADH problems?
- Specific Gravit
Name the lab values for Sodium?
Name the lab values for Urine specific gravity?
Name the lab values for HCT?
Concentrated makes the lab numbers?
Diluted make the numbers go?
Where is ADH found?
In the pituitary gland
t can lead to increased ICP, can
What are key words to make you think potential ADH problem?
- head injury
- SInus Surgery
- Transphenoidal hypophysectomy or any condition th
What would you like to do?
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