Term
where is most of the body's fluid found?
what are the other two places |
|
Definition
intracell (55%) 23L
interstitial and intravascular |
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Term
| TBW for older children and men <70 |
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Definition
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Term
| TBW for woemn <70 and men > 70 |
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Definition
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Term
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Definition
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Term
| why is mos tof the protein in the body negative |
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Definition
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Term
what is the dominant cation in plasma
what about anion |
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Definition
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Term
what is the dominant caiton in the intracell
what about anion? |
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Definition
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Term
| what is the best place to check for skin turgor? |
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Definition
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|
Term
| what is the first sign of volume depletion? |
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Definition
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Term
| signs of 5% volume depletion-3 |
|
Definition
| skin turgor decreased, pale skin, BP normal |
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Term
| sings of 10% volume depletion-3 |
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Definition
| skin rugor tenting, skin color- grey, BP slight decrease |
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Term
| signs of 15% volume depletion-3 |
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Definition
| skin turgor tenting, skin color mottled, azotemic, BP very decreased |
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Term
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Definition
person is supine for 2 min
BP and HR are recorded as pt stands for 1 min |
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Term
what is a postivie tilt test-22
what does this mean? |
|
Definition
HR increase of 30 beats/min
sx of cerebral hypoperfusion (dizzy, syncope)
15% volume depeltion |
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Term
| capilary refil delay of how mnay seconds shows 15% volume depletion |
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Definition
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Term
| delayed capillary refill of how mnay seconds and other Sx predicts predicts volume depletion of 5% |
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Definition
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|
Term
| is capillary refill more sensitive for adults or children? |
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Definition
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Term
| patients in shock shoudl ahve what palced to measure urine output |
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Definition
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Term
| what is a great indicator of organ perrfusion? what does the person have to have for this to be true? |
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Definition
urine output
nromal renal function |
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|
Term
what is a nromal urine output?
what is reduced?
whaht is severely reduced |
|
Definition
>1 mL/kg/hr
.5-1 mL/Kg/hr
<.5mL/kg/hr |
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|
Term
labs and volume depletion:
albumin; unless what?
hemoglobin; unless whaT? |
|
Definition
decreases unless hypoalbumn
decreases unless anemic |
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Term
| Volume depletion does what to BUN/Scr ratio |
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Definition
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|
Term
what is the nromal number for albumin?
for hemoglobin? |
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Definition
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Term
| lactate of _ implies evere shock |
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Definition
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|
Term
| with treatment lactate should decrease by _% within 1 hr |
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Definition
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Term
| replacement fludis consist of:-2 |
|
Definition
inital 20ml/kg q 10 min
% fluid loss |
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|
Term
for fluid replacement wht is the shceduling:
when is this changed? |
|
Definition
3/4 in first 24 hours
remainder over next 24-48 hours
-if CHF, cirrohis, or renal disease then use 1/2 of the above |
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Term
| isotonic crytalloids/lactated ringers go where in the body |
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Definition
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|
Term
| hypotonic crystalloids mostly go where in the body |
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Definition
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Term
| adverse effects of lactated ringers-2 |
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Definition
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|
Term
| lactated ringers only increase lactate if- |
|
Definition
| person has liver disease (lactate usually converted to bicarb in liver) |
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Term
| D5W is used for what volume depletion cases-2 |
|
Definition
uncomplicated dehydration
water deprivation |
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Term
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Definition
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|
Term
| why is D5W not sued in fluid resucitations |
|
Definition
| bc goes in cell so fast will cause explosion |
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Term
| what dextrose is neevr used in adults for fluid replacment? |
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Definition
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Term
| advantages of crystalloids-2 |
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Definition
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|
Term
| disadvantages of crystalloids-2 |
|
Definition
effects not as long as colloids
need more than colloids |
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|
Term
| whay is albumin used in protein colloids |
|
Definition
| bc want to get fluid from intersittial to vascular |
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|
Term
| protein colloids contain what-3 |
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Definition
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|
Term
| when is 25% albumin used? |
|
Definition
| pt hypovolemic and swollen |
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