Fluid and Electrolyte Balance PDF Notes

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Summary

These notes cover fluid and electrolyte balance, including definitions, processes, and different types of imbalances. The material also details various clinical and practical aspects.

Full Transcript

9/28/2020 D. Naglaa Fathi 1 https://docs.google.com/forms/d/e/1FAIpQLSfTv_XjqbEyIOMv373P3- 13GN0pzBNnSmQqmaLfT0bruklfSA/viewform?usp=sf_link https://www.youtube.com/playlist?list=PL3NAm8UHLUnLJSqeCM_EJHXZ685sb6 7bn https:/...

9/28/2020 D. Naglaa Fathi 1 https://docs.google.com/forms/d/e/1FAIpQLSfTv_XjqbEyIOMv373P3- 13GN0pzBNnSmQqmaLfT0bruklfSA/viewform?usp=sf_link https://www.youtube.com/playlist?list=PL3NAm8UHLUnLJSqeCM_EJHXZ685sb6 7bn https://www.youtube.com/watch?v=KKKdG9g7OeM 9/28/2020 D. Naglaa Fathi 2 9/28/2020 D. Naglaa Fathi 3 Prepared by Naglaa Fathi Abdel-Mohsen Lecturer at Medical Surgical Nursing Department Faculty of Nursing – Fayoum University 9/28/2020 D. Naglaa Fathi 4 Intended learning outcomes At the end of this lecture each student will be able to: Differentiate between osmosis, diffusion, filtration, and active transport and other concepts. Describe the role of the kidneys, lungs, skin, hormones and endocrine glands in regulating the body fluid volume. Plan effective nursing care of patients with the imbalances of fluid volume deficit and excess, and electrolytes imbalances (sodium, potassium, and calcium). Describe the cause, clinical manifestations, and nursing interventions for the fluid and electrolyte imbalances in sodium, potassium, and calcium. 9/28/2020 D. Naglaa Fathi 5 Outlines Introduction to fluid and electrolytes Amount and composition of body fluids Factors that influence the amount of body fluid Regulation of fluid within the body compartments and Electrolytes Systemic Routes of Gains and Losses Laboratory tests for evaluating fluid status Homeostatic Mechanisms (systems and hormones) Fluid volume disturbances deficit and excess includes (pathophysiology, causes, manifestations, assessment and diagnostic findings, medical and nursing management) Electrolytes imbalances deficit and excess of potassium, sodium, and calcium includes (causes, manifestations, and nursing management) 9/28/2020 D. Naglaa Fathi 6 9/28/2020 D. Naglaa Fathi 7 9/28/2020 D. Naglaa Fathi 8 Distribution of body fluids 9/28/2020 D. Naglaa Fathi 9 9/28/2020 D. Naglaa Fathi 10 Body fluids distribution 9/28/2020 D. Naglaa Fathi 11 Introduction 9/28/2020 D. Naglaa Fathi 12 Solution 9/28/2020 D. Naglaa Fathi 13 Blood / Colloid 9/28/2020 D. Naglaa Fathi 14 Osmosis / Osmotic pressure/ Diuresis 9/28/2020 D. Naglaa Fathi 15 Tonicity 9/28/2020 D. Naglaa Fathi 16 Diffusion 9/28/2020 D. Naglaa Fathi 17 Filtration 9/28/2020 D. Naglaa Fathi 18 The forces of osmotic and hydrostatic pressure oppose each other 9/28/2020 D. Naglaa Fathi 19 Sodium–Potassium Pump 9/28/2020 D. Naglaa Fathi 20 9/28/2020 D. Naglaa Fathi 21 9/28/2020 D. Naglaa Fathi 22 9/28/2020 D. Naglaa Fathi 23 9/28/2020 D. Naglaa Fathi 24 Sources of body water gains and losses in the adult 9/28/2020 D. Naglaa Fathi 25 9/28/2020 D. Naglaa Fathi 26 Osmolality and osmolarity 9/28/2020 D. Naglaa Fathi 27 Organs of homeostasis (systems and hormones responsible for homeostatic mechanism) 9/28/2020 D. Naglaa Fathi 28 Fluid regulation cycle. ADH, antidiuretic hormone; BP, blood pressure; ECF, extracellular fluid; GFR, glomerular filtration rate. 9/28/2020 D. Naglaa Fathi 29 Hypovolemia 9/28/2020 D. Naglaa Fathi 30 Hypervolemia 9/28/2020 D. Naglaa Fathi 31 9/28/2020 D. Naglaa Fathi 32 9/28/2020 D. Naglaa Fathi 33 9/28/2020 D. Naglaa Fathi 34 9/28/2020 D. Naglaa Fathi 35 Hypernatremia 9/28/2020 D. Naglaa Fathi 36 9/28/2020 D. Naglaa Fathi 37 9/28/2020 D. Naglaa Fathi 38 Role of the nurse in keeping fluid and electrolytes balance 9/28/2020 D. Naglaa Fathi 39 https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://study.com/learn /lesson/video/fluid-electrolyte-balance- importance.html&ved=2ahUKEwiWvIDArK6IAxV5Q6QEHdJoJIQQtwJ6BAgEEAI&usg=AOvVaw33VR L5Mtpx2QgvGb18Cx1o https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://study.com/learn /lesson/video/fluid-electrolytes-overview-imbalance-kidney- problems.html&ved=2ahUKEwiWvIDArK6IAxV5Q6QEHdJoJIQQtwJ6BAgHEAI&usg=AOvVaw3- TXAvs00KPDX9tqM7i3O3 https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.youtube. com/watch%3Fv%3DraW6b5kQHPY&ved=2ahUKEwiWvIDArK6IAxV5Q6QEHdJoJIQQtwJ6BAgJEAI &usg=AOvVaw3KsiYDehMZtib9k0PqYzv9 https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://study.com/aca demy/lesson/video/electrolyte-balance-in-the-body-regulation- imbalance.html&ved=2ahUKEwiWvIDArK6IAxV5Q6QEHdJoJIQQtwJ6BAgFEAI&usg=AOvVaw1aTWh rmHvM3-PvXW-AGEro https://www.youtube.com/playlist?list=PL3NAm8UHLUnLJSqeCM_EJHXZ685sb67bn https://www.youtube.com/watch?v=KKKdG9g7OeM 9/28/2020 D. Naglaa Fathi 40 Summary 9/28/2020 D. Naglaa Fathi 41 Any questions ? 9/28/2020 D. Naglaa Fathi 42 9/28/2020 D. Naglaa Fathi 43

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