NURS 309 Exam 1 (Fluid and Electrolytes) A+ Guaranteed.

Assessing Fluid Balance correct answers What do we look at: -**weight and I&Os -VS, CVP -Na, BUN, Hct -head to toe assessment (edema, turgor, ascites) How often assess: -Q8 (typically) -Q1 if imbalance present for Pt Serum Osmolality correct answers *normal level: 275-300 -concentration of amount of solutes/chemicals in blood Serum Osmolality: Hypervolemia and Hypovolemia correct answers Hypervolemia: (FVE) -osmo: decreased (diluted) -weight: increased -intake (increased), output (decreased) -Increased: BP, CVP -Decreased: Na, BUN, Hct, creatinine, HR, temp Hypovolemia: (FVD) -osmo: increased -weight: decreased -intake (decreased), output (increased) -Increased: Na, BUN, Hct, creatinine, HR, temp -Decreased: BP, CVP Hypovolemia (FVD) correct answers *decreased water (fluid), increased Na, increased Cl Causes: -vomiting, diarrhea -GI suction -excessive perspiration -NPO or decreased intake of food -third spacing (fluid in tissue/organs it shouldn't be) -diabetes insipidus -hyperglycemia (increased BS = increased output) -adrenal insufficiency -hemorrhage (trauma) -excessive use of diuretics and laxatives