Fluid, Electrolyte, and Acid-Base Balance Chapters 8-9-15

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Questions and Answers

What condition is characterized by impaired ventilation-perfusion matching leading to increased gas exchange issues?

  • Asthma
  • Cystic fibrosis
  • Hypertension
  • Emphysema (correct)

Which of the following is a common effect of impaired diffusion in the lungs?

  • Dehydration
  • Hypotension
  • Hyoxemia (correct)
  • Hypertension

Which of the following is a key function of the heart related to perfusion?

  • Digestion
  • Respiration
  • Cardiac output (correct)
  • Osmosis

What primary issue can arise from altered cardiac output?

<p>Stagnation of blood flow (B)</p> Signup and view all the answers

Which clinical model is directly related to altered perfusion and presents a risk for myocardial infarction?

<p>Shock (A)</p> Signup and view all the answers

What is a potential consequence of sodium loss due to vomiting?

<p>Hyponatremia (C)</p> Signup and view all the answers

Which of the following is NOT a common cause of potassium loss?

<p>Kidney failure (D)</p> Signup and view all the answers

Which fluid tonicity would cause cells to swell due to water influx?

<p>Hypotonic (B)</p> Signup and view all the answers

What is the primary role of the bicarbonate buffer system in acid-base balance?

<p>To remove excess hydrogen ions from the bloodstream. (B)</p> Signup and view all the answers

Which condition is characterized by an excess of fluid in the body compartments?

<p>Hypervolemia (A)</p> Signup and view all the answers

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Flashcards

Gas diffusion

The process by which oxygen moves from the alveoli into the blood and carbon dioxide moves from the blood into the alveoli.

Perfusion

The process by which the body delivers oxygenated blood to the tissues and removes waste products. It involves the heart, blood vessels, and blood.

Ventilation-perfusion mismatch

A state where the amount of air reaching the alveoli doesn't match the amount of blood flowing through the capillaries surrounding them, impacting gas exchange.

Altered cardiac output

Any condition that impairs the ability of the heart to pump blood effectively, leading to reduced blood flow to the tissues.

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Asthma

A disease characterized by chronic inflammation and narrowing of the airways, leading to difficulty breathing.

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Normal Extracellular Electrolyte Values

The normal range of sodium, potassium, calcium, magnesium, chloride, and phosphate in the blood, usually measured in milliequivalents per liter (mEq/L).

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What do electrolytes do?

Electrolytes play crucial roles in nerve impulse transmission, muscle contractions, fluid balance, and maintaining blood pressure.

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Metabolic Acidosis

A state where the body's pH falls below the normal range of 7.35 - 7.45, usually due to an accumulation of acids.

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How does ventilation work?

Ventilation is the process of moving air in and out of the lungs, making it possible for oxygen to enter the bloodstream and carbon dioxide to be expelled.

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Tonicity: Isotonic, Hypertonic, and Hypotonic Fluids

Tonicity refers to the osmotic pressure of a solution compared to another, influencing how fluids move between compartments. Isotonic solutions have the same osmotic pressure as blood, hypertonic solutions have a higher osmotic pressure, and hypotonic solutions have a lower osmotic pressure.

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Study Notes

Chapter 8: Altered Fluid and Electrolyte Balance

  • Electrolytes have specific functions in the body
  • Imbalances can occur due to various factors (vomiting, diarrhea, diuretic use, kidney failure, etc.)
  • Body regulates fluid intake and excretion through various processes
  • Fluid movement between cells, tissues, and circulation is crucial
  • Conditions like hypovolemia, hemorrhage, dehydration, water intoxication, and hypervolemia impact fluid balance
  • Fluid balance is linked to conditions like cirrhosis and dehydration

Chapter 9: Altered Acid-Base Balance

  • Maintaining physiological pH is vital for cell and tissue function
  • Buffer systems (3) regulate pH levels
  • Imbalances in pH can lead to various consequences

Chapter 15: Altered Ventilation and Diffusion

  • Ventilation and diffusion are crucial for gas exchange
  • Impaired ventilation can lead to issues like hypoxemia and hypercapnia
  • Respiratory conditions (COPD, asthma) can impair ventilation and diffusion
  • Ventilation-perfusion mismatch is a critical concept
  • Measuring and treating impaired ventilation and diffusion are crucial

Chapter 16: Altered Perfusion

  • Perfusion involves the flow of blood through the circulatory system, critical for delivering oxygen and nutrients to tissues
  • Pathway of blood flow from ventilation to perfusion through the circulatory system
  • Impaired perfusion can lead to a variety of health issues
  • Conditions like shock, myocardial infarction, and heart failure result from altered perfusion.
  • Diagnoses associated with altered perfusion include COPD, asthma, and cystic fibrosis, as well as hypertension.

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