B260 Exam 2 Questions With Complete Solutions 3 types of extracellular fluid hhCorrect Answers hhintravascular (blood plasma), interstitial (spaces between cells and lymph), transcellular (CSF) best indicator of overall fluid loss or gain hhCorrect Answers hhdaily weights normal serum osmolarity hhCorrect Answers hh280-295 extracellular fluid volume deficit hhCorrect Answers hhconcentration of solute is too great or the water content is too little extracellular fluid volume excess hhCorrect Answer s hhtoo little solute or too much water for the amount of solute hypovolemia causes hhCorrect Answers hhdiarrhea, vomiting, hemorrhage, polyuria, inadequate fluid intake hypovolemia: urine specific gravity findings and BUN hhCorrect Answers hhincreased; urine is more concentrated, heavier hypovolemia: blood pressure and HR findings hhCorrect Answers hhdecreased BP; not as much fluid to have resistance increased HR to compensate for decreased BP hypovolemia assessment findings hhCorrect Answers hhWeight loss of 2 lb in 24 hr, increased HR, decreased BP, poor skin turgor, dry mucous membranes, confusion, weakness, seizures, coma and decreased urine output hypervolemia causes hhCorrect Answers hhexcess fluid intake, abnormal retention of fluids (heart/renal failure), shift of fluid from interstitial fluid into plasma hypervolemia: urine specific gravity and BUN hhCorrect Answers hhdecreased urine specific gravity (urine is lighter, less solutes), decreased BUN hypervolemia assessment findings hhCorrect Answers hh-Increased weight gain -HTN -Tachycardia -bounding pulse -Peripheral Edema -Pulmonary Edema -Jugular vein distention -Crackles -Clammy skin IV therapy purposes hhCorrect Answers hh1. Maintaini ng or providing daily body fluid and electrolytes because of inability to ingest fluids and nutrients by mouth 2. Replacing abnormal or excessive loss of fluids and electrolytes isotonic solution hhCorrect Answers hhsame solute conc. as serum; given to repl ace VOLUME from fluid loss, treatment of hypotension hypertonic solution hhCorrect Answers hhhigher solute conc. than solution; fluid is pulled form interstitial compartment into blood vessels; cells SHRINK; given to reduce edema and urine output, stabilize BP hypotonic solution hhCorrect Answers hhsolute conc. is less than serum; fluid move from bloodstream to interstitial compartments (cells SWELL); used for hyperglycemia conditions phlebitis hhCorrect Answers hhtender and redness at tip of catheter along th e vein. puffy and hard over the vein (palpable cord) thrombophlebitis hhCorrect Answers hhsevere discomfort, red and swollen vein. injury to vein wall and area for thrombi to form; blood clot formed at the tip of the catheter occlusion hhCorrect Answers hhnot flushed properly - clot, bending arm infiltration hhCorrect Answers hhIV fluid infusing into tissue; dislodged from vein or perforated vein. Swelling at and above site. Skin swollen and cool, dressing may be wet due to fluid leaking out. Typically won't cause tissue damage. extravasation hhCorrect Answers hhMEDICATION infusing into tissue; can cause tissue damage
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