Fluid, Electrolyte, and Acid-Base Balance Quiz

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Questions and Answers

What condition is characterized by impaired oxygen transfer and can lead to hypoxemia?

  • Pulmonary embolism
  • Emphysema (correct)
  • Chronic bronchitis
  • Cystic fibrosis

Which effect is caused by both impaired ventilation and diffusion?

  • Increased oxygen saturation
  • Decreased respiratory rate
  • Lower heart rate
  • Hypercapnia (correct)

What physiological process is primarily affected by impaired diffusion?

  • Cardiac cycle
  • Neural control of heart rate
  • Gas exchange in alveoli (correct)
  • Blood pressure regulation

Which of the following is NOT a clinical model associated with altered perfusion?

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

What occurs when there is a mismatch between ventilation and perfusion?

<p>Development of hypoxia (A)</p> Signup and view all the answers

What is one potential consequence of impaired cardiac output?

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

Which diagnostic measure can be used for assessing impaired diffusion?

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

What is a common manifestation of altered perfusion?

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

In myocardial infarction, which aspect of the heart function is primarily compromised?

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

What is the consequence of hyperkalemia in the body?

<p>Decreased muscle function and potential cardiac issues (C)</p> Signup and view all the answers

Which of the following does NOT contribute to fluid imbalance?

<p>Excessive fiber intake (D)</p> Signup and view all the answers

What can occur if the physiologic pH of the body deviates significantly from the normal range?

<p>Cellular dysfunction and damage (C)</p> Signup and view all the answers

Which electrolyte is primarily regulated by the kidneys and can lead to hyperkalemia if not properly managed?

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

Which fluid type is considered hypotonic?

<p>Dextrose 5% in water (C)</p> Signup and view all the answers

What is one of the primary functions of bicarbonate in the body's buffering system?

<p>Neutralizing excess acids (D)</p> Signup and view all the answers

Which condition commonly leads to dehydration and possibly results in hypovolemia?

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

Which of the following statements about acid-base balance is true?

<p>Buffer systems can rapidly correct pH changes in the blood. (A)</p> Signup and view all the answers

Which electrolyte is most likely to become imbalanced due to renal failure?

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

What is a potential cause of hypocalcemia?

<p>Vitamin D deficiency (C)</p> Signup and view all the answers

Flashcards

Electrolyte Functions

Electrolytes like sodium (Na+), potassium (K+), calcium (Ca2+), magnesium (Mg2+), chloride (Cl-), bicarbonate (HCO3-) are essential for various bodily functions like nerve impulses, muscle contractions, and maintaining fluid balance.

Sodium (Na+) Imbalance

Sodium (Na+) is the major cation in extracellular fluid. Hypokalemia (low sodium) causes low blood pressure, weakness, and confusion. Hypernatremia (high sodium) causes thirst, headache, and confusion.

Potassium (K+) Imbalance

Potassium (K+) is the major cation inside cells. Hypokalemia (low potassium) causes muscle weakness, fatigue, and irregular heartbeat. Hyperkalemia (high potassium) causes muscle weakness, paralysis, and irregular heartbeat.

Calcium (Ca2+) Imbalance

Calcium (Ca2+) is essential for strong bones, teeth, and proper nerve function. Hypocalcemia (low calcium) causes weakness, muscle spasms, and seizures. Hypercalcemia (high calcium) causes fatigue, confusion, and constipation.

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Fluid Compartments

The body's fluid compartments include intracellular fluid (inside cells), extracellular fluid (outside cells), interstitial fluid (between cells), and intravascular fluid (within blood vessels). Maintaining proper fluid balance is crucial for overall health.

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Fluid Tonicity

Tonicity refers to the concentration of solutes in a solution compared to the cell's interior. Isotonic fluids have the same concentration, hypotonic fluids have a lower concentration, and hypertonic fluids have a higher concentration, affecting water movement across membranes.

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Hypovolemia

Hypovolemia is a decrease in blood volume. It can be caused by dehydration, hemorrhage, or fluid loss from vomiting or diarrhea. Symptoms include low blood pressure, rapid heartbeat, and dizziness.

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Physiologic pH

The body's pH must stay within a narrow range (7.35-7.45) for proper cellular function. Deviations from this range can lead to metabolic acidosis or alkalosis.

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Buffer Systems

Three buffer systems help maintain pH balance: bicarbonate buffer system, phosphate buffer system, and protein buffer system. These systems rapidly neutralize acids and bases.

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Ventilation

Ventilation is the process of breathing, which involves the exchange of oxygen and carbon dioxide between the lungs and the environment.

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Gas Diffusion

The movement of gases between the alveoli and the blood, driven by differences in partial pressure.

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Ventilation/Perfusion Mismatch

A condition where the ratio of ventilation (airflow) to perfusion (blood flow) in the lungs is imbalanced.

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Cardiac Output

The amount of blood pumped by the heart in one minute.

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Homeostasis

The process by which the body maintains a stable internal environment.

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Hypertension

A condition characterized by high blood pressure.

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Shock

A life-threatening condition with inadequate blood flow to the tissues.

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Heart Failure

A condition where the heart is unable to pump blood effectively to meet the body's needs.

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Myocardial Infarction (Heart Attack)

The death of heart muscle tissue due to lack of oxygen.

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Stroke

A condition where the blood flow to the brain is interrupted, causing damage to brain tissue.

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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 like vomiting, diarrhea, and diuretic use
  • Electrolyte imbalances can lead to a variety of conditions
  • Fluid movement in and out of cells and tissues is crucial
  • Body regulates fluid intake and excretion
  • Types of fluids include isotonic, hypertonic, and hypotonic
  • Fluid imbalances can manifest as hypovolemia, hemorrhage, dehydration, and hypervolemia (edema)

Chapter 9: Altered Acid-Base Balance

  • Maintaining a specific pH is essential for cellular function
  • Alterations in pH impact cell and tissue function, impacting bodily functions
  • Body uses buffer systems to regulate pH
  • Models of acid-base imbalance include metabolic acidosis

Chapter 15: Altered Ventilation and Diffusion

  • Ventilation and diffusion are critical for gas exchange
  • Ventilation involves breathing in and out
  • Diffusion involves gas movement across membranes
  • Impaired ventilation and diffusion lead to conditions like hypoxemia, hypoxia, and hypercapnia
  • Treating these issues involves correcting underlying problems

Chapter 16: Altered Perfusion

  • Perfusion is the delivery of blood to tissues
  • A pathway starts from ventilation and leads to perfusion
  • The circulatory system is involved in this process
  • Examples include pulmonary and systemic pathways
  • Important conditions associated with altered perfusion include conditions like COPD, asthma, cystic fibrosis, hypertension, stroke, myocardial infarction, and heart failure.

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