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Last name, first name
PHN number OR hospital number
Product type/volume
Date & time required
Initial/last name of person phoning order
Choose an answer
Ordering blood from the blood
1 2 Most common fluid imbalance?
bank:
3 hypotonic solution 4 Imbalance in potassium?
, Don't know?
Terms in this set (122)
Most common fluid imbalance? Hypovolemia or dehydration
Hypovolemia S&S? Oliguria, concentrated urine, weak & rapid pulse,
dizziness, thirst, weight loss, decreased blood
pressure, decreased skin turgor, weakness,
confusion and muscle cramps
Hypervolemia S&S? Weight gain, SOB, wheezing, tachycardia, pitting
edema, increased blood
Imbalance in sodium? Hypo/hyper natremia
Imbalance in potassium? Hypo/hyper kalemia
Imbalance in calcium? Hypo/hyper calcemia
causes of hypernatremia Decreased water intake, excess saline/salt, profuse
diarrhea, diabetes insipidus, heatstroke,
hyperventilation
PH: High (More than 7.45): Alkalosis
Low (Less than 7.35): Acidosis
HCO3 High (More than 45): Metabolic Alkalosis
Low (Less than 35): Metabolic Acidosis
PACO2 High (More than 26): Respiratory Acidosis
Low (Less than 22): Respiratory Alkalosis
, isotonic solution Same number of solutes inside the cell as outside
the cell
hypertonic solution More solutes inside the cell (higher osmotic
pressure)
hypotonic solution Less solutes inside the cell (the solution has a lower
osmotic pressure
Review how to calculate drip factor: ml/h x drop factor / minutes = gtts/min
Assessments of fluid balance Health history
Head to toe
Input and output
Assess for edema
Check the diagnostic tests
IV assessment IV Site: Tenderness, redness, warmth, edema,
pallor, swelling, coolness
IV Pump Rate
IV Solution
Baseline vital signs and head to toe assessments
LOC
Mucous membranes for color and moisture
JVD
Heart and lung sounds
Possible GI assessment
Peripheral pulses
Input and Output
Location of the secondary IV bag Higher than the primary IV bag to ensure that the
solution is infused first and is followed by the
secondary solution