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Ms.fluid&electrolytes
1.
Fluid and Electrolytes
Ms. Cherry Ann G. Garcia RN, MAN-IP [email_address]
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Fluid Compartments of
the Body
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Facilitated Diffusion Some
molecules and ions such as glucose, sodium ions and chloride ions are unable to pass through the lipid bilayer of cell membranes.
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Sodium–Potassium Pump Copyright
© 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved.
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Fluid Exchange Between
Capillary and Tissue
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Factors Affecting
Aldosterone Secretion
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Effects of Stress
on F&E Balance
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Electrolyte Disorders Signs
and Symptoms Electrolyte Excess Deficit Sodium (Na) Hypernatremia Thirst CNS deterioration Increased interstitial fluid Hyponatremia CNS deterioration Potassium (K) Hyperkalemia Ventricular fibrillation ECG changes CNS changes Hypokalemia Bradycardia ECG changes CNS changes
49.
Electrolyte Disorders Signs
and Symptoms Electrolyte Excess Deficit Calcium (Ca) Hypercalcemia Thirst CNS deterioration Increased interstitial fluid Hypocalcemia Tetany Chvostek’s, Trousseau’s signs Muscle twitching CNS changes ECG changes Magnesium (Mg) Hypermagnesemia Loss of deep tendon reflexes (DTRs) Depression of CNS Depression of neuromuscular function Hypomagnesemia Hyperactive DTRs CNS changes
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Differential Assessment of
ECF Volume
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Imbalances in ECF
Volume
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Tests for Hypocalcemia
Fig. 17-15
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