Nursing Chapter 19 Fluid & Electrolyte Flashcards
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Questions and Answers

What is the fluid inside the cell called?

intracellular fluid

What does extracellular fluid include?

plasma and interstitial fluid

What is the fluid that surrounds the cells called?

interstitial fluid

What is the chief mechanism for maintaining fluid balance?

<p>adjust fluid output so it equals fluid input</p> Signup and view all the answers

Which organ has the greatest effect on fluid output?

<p>kidney</p> Signup and view all the answers

What hormone reduces the amount of water in the body?

<p>ANH</p> Signup and view all the answers

What hormones increase the amount of water in the body?

<p>ADH and aldosterone</p> Signup and view all the answers

What happens when dehydration begins to occur?

<p>the salivary secretions decrease</p> Signup and view all the answers

What is the most abundant positive ion in blood plasma?

<p>Sodium</p> Signup and view all the answers

What is the most abundant negative ion in blood plasma?

<p>Chloride</p> Signup and view all the answers

Which electrolyte is important in hemoglobin production?

<p>Iron</p> Signup and view all the answers

Dehydration can be caused by?

<p>prolonged vomiting, prolonged diarrhea, too little fluid intake</p> Signup and view all the answers

Who has the greatest percentage of body water?

<p>a newborn</p> Signup and view all the answers

Under normal circumstances, which organ provides the second greatest means of water loss?

<p>Skin</p> Signup and view all the answers

What percentage of body water can a newborn have?

<p>80%</p> Signup and view all the answers

What term describes a blood sodium level of more than 145 mEq/L?

<p>hypernatremia</p> Signup and view all the answers

Obese people tend to have more water per pound of body weight than do slender people.

<p>False</p> Signup and view all the answers

Adults have less water per pound of body weight than do infants.

<p>True</p> Signup and view all the answers

Men tend to have less water per pound of body weight than do women.

<p>False</p> Signup and view all the answers

The most important mechanism in regulating fluid balance is to adjust fluid intake.

<p>False</p> Signup and view all the answers

Fluid loss can occur from the kidneys, lungs, skin, or intestines.

<p>True</p> Signup and view all the answers

The body regulates the amount of fluid lost by increasing or decreasing the amount of urine produced.

<p>True</p> Signup and view all the answers

Water intoxication may result from rapidly drinking large volumes of water or giving hypotonic solutions to persons unable to dilute and excrete urine normally.

<p>True</p> Signup and view all the answers

One reason the amount of water per pound increases in the elderly is that the muscle mass decreases and body fat increases.

<p>False</p> Signup and view all the answers

One of the first signs of dehydration is the reduction in the production of saliva.

<p>True</p> Signup and view all the answers

Match the following terms with their correct definitions:

<p>Hyperkalemia = Elevated potassium levels in the blood Hyponatremia = Low sodium levels in the blood Hypocalcemia = Low calcium levels in the blood Hypernatremia = High sodium levels in the blood Hypercalcemia = High calcium levels in the blood Hypokalemia = Low potassium levels in the blood</p> Signup and view all the answers

Study Notes

Fluid and Electrolyte Overview

  • Intracellular fluid refers to the fluid within cells, essential for cellular function.
  • Extracellular fluid is categorized into plasma and interstitial fluid, accounting for body fluid outside cells.
  • Interstitial fluid specifically surrounds cells, facilitating nutrient and waste exchange.

Fluid Balance Mechanisms

  • The primary mechanism for maintaining fluid balance involves adjusting fluid output to match fluid input.
  • Kidneys have the greatest impact on fluid output, regulating water loss through urine.
  • Hormones such as ANH reduce body water while ADH and aldosterone increase water retention.

Dehydration Indicators

  • Initial signs of dehydration include decreased salivary secretions.
  • Common causes of dehydration are prolonged vomiting, diarrhea, and insufficient fluid intake.

Body Water Composition

  • Newborns possess approximately 80% body water, the highest percentage among all age groups.
  • Body water percentage is higher in infants compared to adults due to differences in body composition.

Electrolyte Concentrations

  • The most abundant positive ion in blood plasma is Sodium, crucial for fluid balance and nerve function.
  • Chloride is the predominant negative ion in plasma, playing a role in acid-base balance and digestion.
  • Iron is vital for hemoglobin production, essential for oxygen transport in the blood.

Fluid Loss and Regulation

  • Significant fluid loss occurs through kidneys, skin, lungs, and intestines; fluid regulation is vital for homeostasis.
  • The body alters urine production to maintain fluid levels, influenced by hydration status.

Water Intoxication Risks

  • Rapid consumption of water can lead to water intoxication, particularly in individuals unable to excrete excess fluids effectively.
  • Elderly individuals often show increased body fat and lower muscle mass, which impacts body water composition.
  • Contrary to common belief, obese individuals do not have a higher water content per pound of body weight than slender individuals.

True/False Statements

  • Adults have less water per pound than infants; women typically have less water than men; fluid balance primarily adjusts fluid output rather than intake.
  • Fluid loss and water intoxication are factual concepts that impact overall health, particularly in vulnerable populations.

Matching Terms (Bonus Points)

  • Familiarize with terms such as hyperkalemia (high potassium), hyponatremia (low sodium), hypocalcemia (low calcium), hypernatremia (high sodium), hypercalcemia (high calcium), hypokalemia (low potassium) for understanding electrolyte imbalances.

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Description

Test your knowledge on fluid and electrolyte concepts with these flashcards. This quiz covers key definitions and mechanisms related to intracellular and extracellular fluids, essential for understanding human physiology. Ideal for nursing students and health professionals preparing for exams.

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