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N115 E1Fluid & Electrolyte Exam Questions and Answers

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N115 E1Fluid & Electrolyte Exam Questions and Answers Average fluid intake per day - Ans:-1500 mL - 2000mL Body's 2 major fluid compartments - Ans:-- Intracellular (ICF) (2/3 of body's water) - Extracellular (ECF) (1/3 of body's water) Intracellular fluid is found where? - Ans:-inside the cell Extracellular fluid is found where? - Ans:-Outside the cell -intravascular (BVs) -interstitial -transcellular (inside eyeball, cerebrospinal fluid) For proper function, the volume of all body fluids and the types, and amount of dissolved substances must be - Ans:-carefully balanced ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/33 hydrostatic pressure is - Ans:-water molecules in a confined space constantly pressing outward against the confining walls What is an example of hydrostatic pressure? - Ans:-Blood pressure (force of blood inside vessel pushing inside vessel) What is dehydration? - Ans:-fluid intake or fluid retention is less than what is needed to meet the body's fluid needs, resulting in a fluid volume deficit, especially plasma volume deficit. (decrease in intravascular and interstitial fluids) Hypotonic fluid volume deficit is - Ans:-fluid going into the cell and swelling Iso-osmolar fluid deficit (isotonic dehydration) is - Ans:-loss of equal amounts of fluid and solutes (diarrhea) Hyperosmolar fluid deficit (dehydration) is - Ans:-losing a lot more fluid than solutes (burns) Common causes of dehydration - Ans:-- hemorrhage - vomiting - diarrhea - profuse salivation - fistulas ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/33 - ileostomy - profuse diaphoresis - burns - severe wounds - long term NPO - GI suction - Hyperventilation - Renal failure (early stage) - Diabetes insipidus - Difficulty swallowing - Impaired thrist - Unconsciousness - Fever - Impaired motor function ECFVD Clinical Manifestations - Ans:-- thirst ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/33 - decreased skin turgor - dry mucous, dry membranes, dry skin - sunken eyeballs - elevated temp - tachycardia - decreased BP, orthostatic or postural hypotension - Oliguria (decreased urine output) - flat neck and hand veins (even when lying flat) - increased respiration rate - changes in mental status and LOC, apprehension, and restlessness, confusion, coma in severe cases. Diagnostic Findings for ECFV Deficit - Ans:-- increased serum osmolality - increased or normal serum sodium level - elevated hematocrit - increased blood urea nitrogen (BUN) ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/33 - increased urine specific gravity - increased glucose - increased protein What is the exact way to tell if a patient has EFD or EFO? - Ans:-weight! (1L = about 2.5 #) Can a lab test absolutely determine dehydration? - Ans:-no, th

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




N115 E1Fluid & Electrolyte Exam
Questions and Answers


Average fluid intake per day - Ans:✔✔-1500 mL - 2000mL


Body's 2 major fluid compartments - Ans:✔✔-- Intracellular (ICF) (2/3 of body's water)


- Extracellular (ECF) (1/3 of body's water)


Intracellular fluid is found where? - Ans:✔✔-inside the cell


Extracellular fluid is found where? - Ans:✔✔-Outside the cell


-intravascular (BVs)


-interstitial


-transcellular (inside eyeball, cerebrospinal fluid)


For proper function, the volume of all body fluids and the types, and amount of dissolved substances

must be - Ans:✔✔-carefully balanced




Page 1/33

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




hydrostatic pressure is - Ans:✔✔-water molecules in a confined space constantly pressing outward

against the confining walls


What is an example of hydrostatic pressure? - Ans:✔✔-Blood pressure (force of blood inside vessel

pushing inside vessel)


What is dehydration? - Ans:✔✔-fluid intake or fluid retention is less than what is needed to meet the

body's fluid needs, resulting in a fluid volume deficit, especially plasma volume deficit. (decrease in

intravascular and interstitial fluids)


Hypotonic fluid volume deficit is - Ans:✔✔-fluid going into the cell and swelling


Iso-osmolar fluid deficit (isotonic dehydration) is - Ans:✔✔-loss of equal amounts of fluid and solutes

(diarrhea)


Hyperosmolar fluid deficit (dehydration) is - Ans:✔✔-losing a lot more fluid than solutes (burns)


Common causes of dehydration - Ans:✔✔-- hemorrhage


- vomiting


- diarrhea


- profuse salivation


- fistulas

Page 2/33

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- ileostomy


- profuse diaphoresis


- burns


- severe wounds


- long term NPO


- GI suction


- Hyperventilation


- Renal failure (early stage)


- Diabetes insipidus


- Difficulty swallowing


- Impaired thrist


- Unconsciousness


- Fever


- Impaired motor function


ECFVD Clinical Manifestations - Ans:✔✔-- thirst
Page 3/33

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- decreased skin turgor


- dry mucous, dry membranes, dry skin


- sunken eyeballs


- elevated temp


- tachycardia


- decreased BP, orthostatic or postural hypotension


- Oliguria (decreased urine output)


- flat neck and hand veins (even when lying flat)


- increased respiration rate


- changes in mental status and LOC, apprehension, and restlessness, confusion, coma in severe cases.


Diagnostic Findings for ECFV Deficit - Ans:✔✔-- increased serum osmolality


- increased or normal serum sodium level


- elevated hematocrit


- increased blood urea nitrogen (BUN)




Page 4/33

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