Fluid 1

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Author:
jld15
ID:
303484
Filename:
Fluid 1
Updated:
2015-05-31 21:13:07
Tags:
Fluid
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Description:
Fluid 1
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  1. Fluid and Electrolyte Imbalances Age related factors
    • Acute illness
    • Decreased thirst mechanism
    • Diet
    • ----Increase salt intake
    • Medications
    • ----More medications
    • --------More drug interactions
    • Immobility
    • ----Don’t drink bc hard to getting to bathroom
    • Difficulty swallowing
    • ----Thickeners
  2. Where are fluids found:
    • Intracellular
    • Interstitial
    • Intravascular
    • Transvascular
  3. Intracellular
    In cells
  4. Interstitial
    • Btwn cells
    • Most of the fluid
  5. Intravascular
    Within blood vessels
  6. Transcellular
    • Compartmentalized fluid
    • ----Ex: cerebral spinal fluid, gastric juices
  7. Cell membranes _____ permeable, allowing for _________ fluid shifts
    • Water; passive
    • Water follows Na and movement of fluid depending on where electrolytes are
  8. Type of Fluid Imbalances
    • ECF volume deficit
    • ----Too little overall
    • ECF volume excess
    • ----Too much overall
    • ECF volume shift
    • ----Shifted in one spot (90/10 vs 80/20)
    • ICF volume excess
    • ICF volume deficit
  9. Vascular Shifts
    • Increased/ decreased intravascular fluid
    • Increased/decreased exrtavascular fluid
  10. Increased intravascular fluid
    • CHF
    • ----Retain fluid in bv leading to
    • Increased BP
    • Increased heart rate
    • ----Body working harder bc lots of fluid
    • Increased respiration
    • ----Body working harder bc lots of fluid
  11. Decreased intravascular fluid
    • Decreased BP
    • Increased heart rate
    • ----Trying to compensate for low BP
    • Increased respirations
    • ----Trying to compensate for low BP
  12. Increased extravascular fluid
    • Leads to increased fluid in the tissues such as:
    • ----Edema
    • ----Ascites
    • --------Fluid build up in peritoneal cavity
    • ----Pleural effusion
    • --------Fluid in space around lungs
  13. Decreased extravascular fluid
    • Decreased skin turgor
    • ----Pinch skin and slowly moves back down
    • Fatigue
  14. Proper balance between volume and distribution based upon
    • Cell nutrition
    • ----If no fluid cant get nutrients
    • Waste excretion
    • ----Leading to accumulation of waste
    • Energy production
    • ----Correct amount of energy is produced when in homeostasis
    • Sodium (Na+)
    • ----Influences water retention and water loss
    • ----Fluid deficit – dehydration
    • ----Fluid excess – edema
    • ----Fluid shift – third-space fluid
    • --------Fluid gathering in interstitial space leading to whole body edema

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