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Cherry Ann Garcia
Cherry Ann Garcia
Santé & MédecineTechnologie
1  sur  116
Fluid and Electrolytes Ms. Cherry Ann G. Garcia RN, MAN-IP [email_address]
Homeostasis ,[object Object],[object Object],[object Object]
Water Content of the Body ,[object Object],[object Object],[object Object],[object Object]
Compartments ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid Compartments of the Body
Intracellular Fluid (ICF) ,[object Object],[object Object]
Extracellular Fluid (ECF) ,[object Object],[object Object]
Transcellular Fluid ,[object Object],[object Object],[object Object]
Transcellular Fluid ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrolytes ,[object Object],[object Object],[object Object]
Functions of Electrolytes ,[object Object],[object Object],[object Object]
Measurement of Electrolytes ,[object Object],[object Object],[object Object]
Electrolyte Composition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanisms Controlling Fluid and Electrolyte Movement ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],the natural tendency of a substance to move from an area of higher concentration to one of lower concentration the pressure created by the weight of fluid against the wall that contains it the process by which fluid moves across a semi-permeable membrane from an area of low solute concentration to an area of high solute concentration Osmotic pressure exerted by proteins physiologic pump that moves fluid from an area of lower concentration to one of higher concentration type of passive transport that allows substances to cross membranes with the assistance of special  transport proteins
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.
Sodium–Potassium Pump Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved.
Fluid Movement in Capillaries ,[object Object],[object Object],[object Object],[object Object],[object Object]
Fluid Exchange Between Capillary and Tissue
Fluid Shifts ,[object Object],[object Object],[object Object],[object Object]
Fluid Shifts ,[object Object],[object Object],[object Object]
Fluid Movement between ECF and ICF ,[object Object],[object Object]
Fluid Movement between ECF and ICF ,[object Object],[object Object]
Fluid Spacing ,[object Object],[object Object],[object Object],[object Object]
Fluid Spacing ,[object Object],[object Object]
Regulation of Water Balance ,[object Object],[object Object],[object Object],[object Object]
Hypothalamic Regulation ,[object Object],[object Object],[object Object]
Pituitary Regulation ,[object Object],[object Object]
Adrenal Cortical Regulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Factors Affecting Aldosterone Secretion
Renal Regulation ,[object Object],[object Object],[object Object],[object Object]
Effects of Stress on F&E Balance
Cardiac Regulation ,[object Object],[object Object],[object Object]
Gastrointestinal Regulation ,[object Object],[object Object],[object Object]
Insensible Water Loss ,[object Object],[object Object],[object Object]
Gerontologic Considerations ,[object Object],[object Object],[object Object]
Gerontologic Considerations ,[object Object],[object Object]
Fluid and Electrolyte Imbalances ,[object Object],[object Object],[object Object]
Extracellular Fluid Volume Imbalances ,[object Object],[object Object],[object Object]
Causes of Volume deficit ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Clinical manifestations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Extracellular Fluid Volume Imbalances ,[object Object],[object Object],[object Object]
Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Manifestations-Clinical ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Nursing Diagnoses ,[object Object],[object Object],[object Object],[object Object]
Nursing Management Nursing Diagnoses ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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
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
Sodium ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypernatremia ,[object Object],[object Object],[object Object]
Differential Assessment of ECF Volume
Imbalances in ECF Volume
Hypernatremia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypernatremia ,[object Object]
Nursing Management Nursing Diagnoses ,[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object],[object Object]
Hyponatremia ,[object Object],[object Object],[object Object]
Nursing Management Nursing Diagnoses ,[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object],[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object]
Potassium ,[object Object],[object Object],[object Object],[object Object],[object Object]
Potassium ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hyperkalemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hyperkalemia ,[object Object],[object Object],[object Object],[object Object]
 
Nursing Management Nursing Diagnoses ,[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object]
Hypokalemia ,[object Object],[object Object],[object Object],[object Object]
Hypokalemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Nursing Management Nursing Diagnoses ,[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object],[object Object]
Calcium ,[object Object],[object Object],[object Object]
Calcium ,[object Object],[object Object],[object Object]
Calcium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Calcium ,[object Object],[object Object],[object Object],[object Object]
Hypercalcemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypercalcemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Nursing Management Nursing Diagnoses ,[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object],[object Object],[object Object]
Hypocalcemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypocalcemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Tests for Hypocalcemia Fig. 17-15
Nursing Management Nursing Diagnoses ,[object Object],[object Object]
Nursing Management Nursing Implementation ,[object Object],[object Object],[object Object],[object Object]
Phosphate ,[object Object],[object Object],[object Object]
Phosphate ,[object Object],[object Object],[object Object]
Hyperphosphatemia ,[object Object],[object Object],[object Object],[object Object]
Hyperphosphatemia ,[object Object],[object Object],[object Object]
Hyperphosphatemia ,[object Object],[object Object],[object Object],[object Object]
Hypophosphatemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypophosphatemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypophosphatemia ,[object Object],[object Object],[object Object],[object Object]
Magnesium ,[object Object],[object Object],[object Object]
Magnesium ,[object Object],[object Object]
Hypermagnesemia ,[object Object],[object Object]
Hypermagnesemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypermagnesemia ,[object Object],[object Object],[object Object],[object Object],[object Object]
Hypomagnesemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypomagnesemia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Hypomagnesemia ,[object Object],[object Object],[object Object],[object Object]
IV Fluids ,[object Object],[object Object],[object Object],[object Object],[object Object]
IV Fluids ,[object Object],[object Object],[object Object],[object Object],[object Object]
IV Fluids ,[object Object],[object Object],[object Object]
IV Fluids ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
D5W ,[object Object],[object Object],[object Object],[object Object],[object Object]
D5W ,[object Object],[object Object]
Normal Saline (NS) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Normal Saline (NS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Lactated Ringer’s ,[object Object],[object Object],[object Object],[object Object],[object Object]
D5 ½ NS ,[object Object],[object Object],[object Object]
D10W ,[object Object],[object Object],[object Object],[object Object]
Plasma Expanders ,[object Object],[object Object],[object Object],[object Object],[object Object]

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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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  • 15. 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.
  • 16. Sodium–Potassium Pump Copyright © 2007, 2004, 2000, Mosby, Inc., an affiliate of Elsevier Inc. All Rights Reserved.
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  • 48. 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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