Fluid Imbalance in Nursing

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Questions and Answers

What is a characteristic of hypernatremia?

  • Low blood pressure
  • Increased extracellular fluid
  • Excessive thirst and dry mucous membranes (correct)
  • Decreased blood sodium levels

Which patient group is at risk for hypervolemic hyponatremia?

  • Patients with excessive sweating
  • Athletes after an event
  • Patients with renal failure (correct)
  • Patients on diuretics

What implication does hypokalemia primarily affect in patients?

  • Neurological function
  • Cardiac conduction (correct)
  • Fluid balance
  • Skin integrity

What are common signs and symptoms of hyperkalemia?

<p>Muscle cramps and nausea (D)</p> Signup and view all the answers

What is the normal range for sodium levels in the blood?

<p>135-145 mEq/L (A)</p> Signup and view all the answers

Which mechanism primarily uses a concentration gradient to move water across cell membranes?

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

What is a key feature that distinguishes non-pitting edema from other types of edema?

<p>It involves a buildup of fluid under the skin without indentation. (D)</p> Signup and view all the answers

Which of the following is a complication associated with fluid volume overload (isotonic)?

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

What is a primary cause of dehydration in the body?

<p>Insufficient fluid intake or loss of fluids (A)</p> Signup and view all the answers

Which system regulates fluid balance primarily through hormonal response?

<p>Renin-Angiotensin-Aldosterone System (RAAS) (D)</p> Signup and view all the answers

Flashcards

Osmosis

The movement of water across a semipermeable membrane from an area of high water concentration to an area of low water concentration. This is driven by differences in solute concentration.

Fluid compartments

The major fluid compartments of the body, including intracellular fluid (ICF), which is within cells, and extracellular fluid (ECF), which is outside cells and includes interstitial fluid (ISF) and blood plasma.

RAAS: Renin-Angiotensin-Aldosterone System

The RAAS (Renin-Angiotensin-Aldosterone System) is a hormonal system that regulates blood pressure and fluid volume by controlling sodium and water retention. It’s activated by low blood pressure and volume.

Fluid Overload (Isotonic FVE)

Fluid overload, or overhydration, is a condition where the body has an excess of fluid, leading to increased blood volume.

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Dehydration (Hypovolemia)

Dehydration, or hypovolemia, is a condition where the body has a loss of fluids, resulting in decreased blood volume.

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Hypernatremia

A condition where the sodium level in the blood is too high.

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Hyponatremia

A condition where the sodium level in the blood is too low.

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Hyperkalemia

A condition where the potassium level in the blood is too high.

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Hypokalemia

A condition where the potassium level in the blood is too low.

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Hypervolemic Hyponatremia

A condition where the body has too much fluid, leading to low blood sodium.

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Study Notes

Fluid Imbalance

  • Body Fluid Balance: Describes fluid compartments (ICF, ECF, ISF) and mechanisms controlling fluid balance between them (diffusion, osmosis, transport). Also outlines the Renin-Angiotensin-Aldosterone System (RAAS) role in fluid regulation.
  • Fluid Balance & Homeostasis: Explains how fluid and electrolyte balance is crucial for normal body function.
  • Edema: Defines edema, differentiating pitting, dependent, and non-pitting types. Includes causes, assessment, nursing implications and patient complications.
  • Fluid Overload (Isotonic FVE): Discusses fluid volume overload, etiology, signs, symptoms, patient assessment and complications focusing on cardiovascular, neurological, renal, and skin systems. It includes assessment of Syndrome of Inappropriate Antidiuretic Hormone (SIADH).
  • Dehydration (Hypovolemia): Details dehydration, including causes, signs, symptoms, assessment and complications focusing on cardiovascular, neurological, and renal systems. Also includes assessment of Diabetes Insipidus (DI).

Electrolyte Imbalance

  • Sodium Imbalance (Hypernatremia, Hyponatremia): Explores the significance of sodium, providing normal sodium values and describing hyponatremia and hypernatremia. This section also details the etiologies, patient identification at risk, signs and symptoms, patient assessments, and consequences of each. The sub-sections further divide this based on hypervolemic and hypovolemic subtypes, providing further details pertaining to each.
  • Potassium Imbalance (Hyperkalemia, Hypokalemia): Covers the vital role of potassium and its normal values. The study guide also examines the causes, patient risk factors, presentations, assessment, and complications of hypokalemia and hyperkalemia, for both conditions.

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