Exam (elaborations)

Acid base imbalance and fluid and electrolytes

0 purchase

Course
Nursing 201

Institution
Upmc Shadyside School Of Nursing

Goes into acid base imbalance and every kind and into different electrolytes along with their symptoms and side effects. also dives into AKI, CKD

[Show more]

Preview 1 out of 2 pages

View example

Uploaded on October 31, 2024
Number of pages 2
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

nursing
nursing student
abg
fluid
electrolytes
aki
ckd
acid base imbalance
fluid imbalance
electrolyte imbalance

$10.89

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

Acid-base:

● COPD- chronic respiratory acidosis
● Low carb/no carb diet will put you into, ketosis (metabolic acidosis) - people with
renal/kidney failure will go into meta-acidosis from not eating carbs
● BUN and Cr are markers to see renal function and if kidneys are not working properly
● We do the Allen test to determine blow flow and assess if it is safe to perform an arterial
puncture
● Daily weights are the most accurate measure of fluid balance
● Respiratory alkalosis causes mouth, hands, and feet numbness and tingling
● Choking is an acute cause of respiratory acidosis

Fluid/electrolyte:

● Isotonic- 0.9(normal) saline, lactated ringers, plasmalyte (given in blood loss situation)
● Hypotonic- 0.45%, D5W
● Hypertonic- anything above 0.9% saline
● Intake 2 liters and output 30ml an hr
● Chvostek: cheek and face flinch
● Trousseau: BP cuff and arms hooks in
● Fluid typically moves from an area of low concentration to an area of high concentration
● Know the cardiac affects of electrolyte loss:
○ Hypomagnesium: fatal dysrhythmias
○ Kalemia: EKG changes and fatal dysrhythmias
● Hypermag: floppy, slow, flaccid
● Hypocalcemia: nose, mouth, hand, feet, toes numbness and tingling and TETANY
● For hyperkalemia:
○ 1. Give IV dextrose/glucose
○ 2. IVP insulin
○ 3. Hang calcium
● Hyperkalemia: polystyrene sulfate (kayexelate)- takes all K into colon and gives extreme
diarrhea
● Hyponatremia: seizures
● KNOW K SHOULD BE INTRACELLULAR

FVE/FVD:

● Fve meds:
○ Loop diuretics (furosemide) : strongest - pee lot of K
○ Thiazide diuretics (hydrochlorothyoxide) : pee lot of K
○ Potassium-sparing diuretics (spironolactone) : helps keep K

● Clinical manifestations w FVD:

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller sarahhuffman. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.89. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69052 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling