Podcast
Questions and Answers
What percentage of body weight in male adults is made up of body fluids?
What percentage of body weight in male adults is made up of body fluids?
- 70%
- 60% (correct)
- 45%
- 50%
Which group of individuals tends to have a higher percentage of body fluid?
Which group of individuals tends to have a higher percentage of body fluid?
- Obese individuals
- Infants (correct)
- Adult women
- Older adults
What is the primary location of intracellular fluids (ICF) in the body?
What is the primary location of intracellular fluids (ICF) in the body?
- Skin tissue
- Fat cells
- Blood plasma
- Skeletal muscle mass (correct)
Which of the following factors does NOT affect total body water?
Which of the following factors does NOT affect total body water?
What percentage of body weight do older adults typically consist of in terms of body fluids?
What percentage of body weight do older adults typically consist of in terms of body fluids?
Which body component has the highest water content?
Which body component has the highest water content?
What is one of the main functions of extracellular fluid (ECF)?
What is one of the main functions of extracellular fluid (ECF)?
What is one of the primary effects of catecholamines on potassium levels?
What is one of the primary effects of catecholamines on potassium levels?
Which diagnostic test is most indicative of dehydration?
Which diagnostic test is most indicative of dehydration?
Which statement about body fluid composition is correct?
Which statement about body fluid composition is correct?
What is a common cause of hypokalemia?
What is a common cause of hypokalemia?
What role does aldosterone play in potassium regulation?
What role does aldosterone play in potassium regulation?
Which condition is associated with hypocalcemia?
Which condition is associated with hypocalcemia?
What activates the protein channel that allows glucose to enter the cell?
What activates the protein channel that allows glucose to enter the cell?
Which process describes the movement of solutes from an area of high concentration to an area of low concentration?
Which process describes the movement of solutes from an area of high concentration to an area of low concentration?
Which of the following statements about the sodium-potassium pump is true?
Which of the following statements about the sodium-potassium pump is true?
What happens to a cell in a hypotonic solution?
What happens to a cell in a hypotonic solution?
During the process of osmosis, which substance is typically moving?
During the process of osmosis, which substance is typically moving?
In the described oxidation reaction, how many molecules of water are produced?
In the described oxidation reaction, how many molecules of water are produced?
What occurs at the neuromuscular junction when acetylcholine is released?
What occurs at the neuromuscular junction when acetylcholine is released?
Which type of transport mechanism requires energy in the form of ATP?
Which type of transport mechanism requires energy in the form of ATP?
Which of the following is an effect of Atrial Natriuretic Hormone?
Which of the following is an effect of Atrial Natriuretic Hormone?
What electrolyte primarily exists as a cation in intracellular fluid?
What electrolyte primarily exists as a cation in intracellular fluid?
Which diagnostic test would indicate a fluid volume deficit?
Which diagnostic test would indicate a fluid volume deficit?
What is a common symptom associated with fluid volume deficit?
What is a common symptom associated with fluid volume deficit?
Which condition is characterized by elevated osmolality?
Which condition is characterized by elevated osmolality?
Which electrolyte imbalance is likely in a patient with ineffective tissue perfusion due to fluid loss?
Which electrolyte imbalance is likely in a patient with ineffective tissue perfusion due to fluid loss?
What is the role of electrolytes in the body?
What is the role of electrolytes in the body?
Which of the following symptoms is NOT typically associated with fluid volume deficit?
Which of the following symptoms is NOT typically associated with fluid volume deficit?
What is a primary nursing diagnosis when dealing with fluid overload?
What is a primary nursing diagnosis when dealing with fluid overload?
Which collaborative management strategy is essential for a patient with fluid overload?
Which collaborative management strategy is essential for a patient with fluid overload?
Which diagnostic test is likely to indicate fluid overload if increased BUN and creatinine levels are observed?
Which diagnostic test is likely to indicate fluid overload if increased BUN and creatinine levels are observed?
In the context of administering fluids, what does PLR refer to?
In the context of administering fluids, what does PLR refer to?
What is a consequence of excessive administration of hypotonic solutions?
What is a consequence of excessive administration of hypotonic solutions?
Which nursing intervention should be prioritized for a patient showing signs of activity intolerance?
Which nursing intervention should be prioritized for a patient showing signs of activity intolerance?
What can cause an increase in production of ADH, leading to fluid retention?
What can cause an increase in production of ADH, leading to fluid retention?
Which factor is least associated with fluid volume excess?
Which factor is least associated with fluid volume excess?
What happens to red blood cells in a hypotonic solution?
What happens to red blood cells in a hypotonic solution?
What is the primary characteristic of an isotonic solution?
What is the primary characteristic of an isotonic solution?
What is the definition of osmolality?
What is the definition of osmolality?
Hydrostatic pressure is best described as which of the following?
Hydrostatic pressure is best described as which of the following?
Which solution would be classified as hypotonic?
Which solution would be classified as hypotonic?
Oncotic pressure primarily helps in which of the following?
Oncotic pressure primarily helps in which of the following?
What is the typical range for serum osmolality?
What is the typical range for serum osmolality?
What effect does a hypertonic solution have on red blood cells?
What effect does a hypertonic solution have on red blood cells?
Flashcards
Intracellular Fluid (ICF)
Intracellular Fluid (ICF)
Fluid inside cells, making up around 70% of total body water. It plays a crucial role in cell function and maintaining the internal environment.
Extracellular Fluid (ECF)
Extracellular Fluid (ECF)
Fluid outside cells, making up the remaining 30% of total body water. It includes blood plasma and interstitial fluid.
Body Weight and Fluids
Body Weight and Fluids
A person's overall weight is influenced by the amount of fluid they carry. This is because body fluids contribute a significant portion of our overall weight.
Age and Body Fluid Percentage
Age and Body Fluid Percentage
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Gender and Body Fluid Percentage
Gender and Body Fluid Percentage
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Obesity and Body Fluid Percentage
Obesity and Body Fluid Percentage
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Skeleton and Body Fluid
Skeleton and Body Fluid
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Water Content in Tissues
Water Content in Tissues
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Simple Diffusion
Simple Diffusion
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Simple Osmosis
Simple Osmosis
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Active Transport
Active Transport
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Sodium-Potassium Pump
Sodium-Potassium Pump
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Insulin-Dependent Glucose Transport
Insulin-Dependent Glucose Transport
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Hypotonic Solution
Hypotonic Solution
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Hypertonic Solution
Hypertonic Solution
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Isotonic Solution
Isotonic Solution
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Hydrostatic Pressure
Hydrostatic Pressure
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Oncotic Pressure (Colloid Osmotic Pressure)
Oncotic Pressure (Colloid Osmotic Pressure)
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Tonicity
Tonicity
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Osmolarity
Osmolarity
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Osmolality
Osmolality
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Extracellular fluid
Extracellular fluid
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Intracellular fluid
Intracellular fluid
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Edema
Edema
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Fluid Volume Excess
Fluid Volume Excess
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Fluid Volume Deficit
Fluid Volume Deficit
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Fluid Replacement
Fluid Replacement
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Hypokalemia
Hypokalemia
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Hyperkalemia
Hyperkalemia
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Aldosterone
Aldosterone
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Sodium (Na+)
Sodium (Na+)
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Potassium (K+)
Potassium (K+)
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What is Atrial Natriuretic Hormone (ANH)?
What is Atrial Natriuretic Hormone (ANH)?
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What are Baroreceptors?
What are Baroreceptors?
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What are Osmoreceptors?
What are Osmoreceptors?
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What are Electrolytes?
What are Electrolytes?
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What are Cations?
What are Cations?
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What are Anions?
What are Anions?
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What is Hypertonic/Hyperosmolar Fluid Volume Deficit (FVD)?
What is Hypertonic/Hyperosmolar Fluid Volume Deficit (FVD)?
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What is Isotonic/Iso-osmolar Fluid Volume Deficit (FVD)?
What is Isotonic/Iso-osmolar Fluid Volume Deficit (FVD)?
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Study Notes
Nursing Care of At-Risk and Sick Adult Clients
- Focuses on alterations/problems with fluid and electrolyte balance.
Body Fluids and Electrolytes
- Approximately 60% of an adult's weight is fluid.
- Men have a higher percentage of body fluid than older people.
- Obese individuals have more body fluid than correspondingly sized women and have less than those who are thin. Body fluid is less in skeletal than muscle, skin, and blood.
- Body fluids are divided into intracellular (ICF) and extracellular (ECF) compartments.
- ICF comprises 70% of body fluid.
- ECF comprises 30% of body fluid and includes interstitial fluid (ISF) and intravascular fluid (IVF).
- Transcellular fluid is the smallest division within ECF. examples are cerebrospinal fluid, serous fluids, synovial fluids, humors of the eyeball, and digestive juices.
Body Water Distribution
- Infants have 80% body weight as water.
- Adult males have 60% body weight as water.
- Adult females have 50% body weight as water.
- Older adults have 45-55% body weight as water.
Fluid Functions
- Extracellular fluid (ECF) maintains blood volume and transports substances to and from cells.
- Intracellular fluid (ICF) provides an aqueous medium for cellular chemical functions.
- Maintains body temperature through processes like perspiration.
- Eliminates waste products.
Fluid Output
- Sensible fluid loss (e.g., urine).
- Insensible fluid loss (e.g., sweat, respiration).
Organs for Fluid Loss
- Kidneys: Produce urine (1-2 liters in adults).
- Skin: Facilitates insensible fluid loss (sweat, approximately 600ml/day).
Fluid Transport Mechanisms
- Passive transport includes diffusion (movement of solutes from higher to lower concentration) and osmosis (movement of solvent from lower to higher solute concentration).
- Active transport mechanisms (e.g., sodium-potassium pump) require energy to move substances against their concentration gradient.
Hydrostatic Pressure
- The force exerted by the blood against the vessel walls.
Oncotic Pressure
- The osmotic pressure exerted by proteins in the blood, pulling fluid back into the capillaries.
Fluid Concentration
- Osmolarity: The concentration of solute per liter of solution.
- Osmolality: The concentration of solute per kilogram of water.
Tonicity
- Isotonic solutions have the same solute concentration as blood plasma.
- Hypotonic solutions have a lower solute concentration than blood plasma.
- Hypertonic solutions have a higher solute concentration than blood plasma.
Fluid Imbalances
- Fluid volume deficit (FVD)
- Fluid volume excess (FVE)
Electrolytes
- Cations: Positively charged ions (sodium, potassium, calcium, magnesium)
- Anions: Negatively charged ions (chloride, phosphate)
- Key electrolytes affect osmolality, maintaining fluid balance, nerve impulse conduction and muscle contraction. Important for metabolic and chemical reactions.
Electrolyte Imbalances
- Hyponatremia, Hypokalemia, Hypocalcemia, Hypomagnesemia
- Hypernatremia, Hyperkalemia, Hypercalcemia, Hypermagnesemia
Management Strategies
- Fluid replacement, monitoring, and safety precautions.
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