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NURS 5461 FLUID REPLACEMENT EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED 100% GUARANTEED PASS $9.89   Add to cart

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NURS 5461 FLUID REPLACEMENT EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED 100% GUARANTEED PASS

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NURS 5461 FLUID REPLACEMENT EXAM ACTUAL QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED 100% GUARANTEED PASS a. Fluid Replacement I/O equal ~1600mL/day 1. Total Body Water a. Adult males i. < 65 y/o = 60% ii. > 65 y/o = 50% b. Adult females i. < 65 y/o = 50% > 65 y/o =...

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  • November 2, 2024
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  • 2024/2025
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NURS 5461 FLUID REPLACEMENT EXAM ACTUAL QUESTIONS

AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED 100%

GUARANTEED PASS


a. Fluid Replacement

I/O equal ~1600mL/day

1. Total Body Water

a. Adult males

i. < 65 y/o = 60%

ii. > 65 y/o = 50%

b. Adult females

i. < 65 y/o = 50%

> 65 y/o = 45%

Extracellular fluid volume

1. 1/3 TWB

2. Controlled by Na retention and excretion

3. Water passively follows sodium

4. Body ignores ECF as a whole

a. Samples a portion of it EABV

a. Effective Arterial Blood Volume

b. Effective Arterial Blood Volume

i. Volume in the arteries

, ii. ~ 700ml

iii. Function of cardiac output and systemic vascular resistance

*Baro-receptors sense changes in the EABV

-Decreased EABV- increase release of catecholamines and increases CO and SVR,

activates RAAS, increased antidiuretic hormone secretion

-Increase EABV- suppresses RAAS, increase release of atrial natriuretic peptide

i. Manifestations of Dehydration/Volume Loss

1. Thirst, Delayed capillary refill

2. Dry mucous membranes, cool clammy skin

3. Tachypnea

4. Tachycardia with pulse > 100

5. Postural hypotension (SBP decrease > 20mmHg with standing)

6. Oliguria-calc based on wgt.

7. Depressed mental status of loss of consciousness

8. Peripheral cyanosis

9. Supine Hypotension

10. Hemoconcentration: elevated HCT, increased serum albumin

11. Increased BUN to creatinine ratio, normal is < 20

i. Fluid Therapy

1. Goals of IV Fluid Therapy

a. Normalize hemodynamics

b. Normalize electrolyte imbalances

c. Replace previous fluid and electrolyte losses

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