Chapter 8 Patho - Disorders of Fluid, Electrolytes, and Acid-Base Imbalances

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41 Terms

1

What are the 3 different fluid compartments water is found in?

Intracellular, and Extracellular Plasma & Interstitial

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2

What is the movement of water particles along a concentration gradient?

Diffusion

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3

What is the movement of water across a semi-permeable membrane?

Osmosis

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4

Urine specific gravity compares the weights of?

Urine to water

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5

The effect that the osmotic pressure within a solution exerts on cell size because of water across the cell membrane

Tonicity

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6

What are the three types of Tonicity?

Isotonic, Hypotonic, and Hypertonic

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7

What type of intravenous fluid has the same tonicity as blood, is 0.9% NaCI, and the cells don’t shrink or swell.

Isotonic

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8

What type of intravenous fluid has less tonicity than blood, is 0.45% NaCI, and water moves into the cells and cells swell?

Hypotonic

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9

What type of intravenous fluid has greater tonicity than blood, is 3% NaCI , and water is pulled out of the cells and cells shrink?

Hypertonic

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10

The number of Osmoles of solute per liter of solution dependent on the number of particles suspended in a solution is?

Osmolarity

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11

In osmolarity, osmoreceptors, sensation of thirst, RAAS, ADH, and natriuretic hormones do what?

Maintain fluid status

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12

Palpable swelling produced by expansion of interstitial fluid volume?

Edema

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13

What is generalized body edema?

Anasarca

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14

T or F: Can edema be localized or generalized (throughout the body)?

True

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15

In what type of Edema does fluid collect in lower parts of the body (like legs or feet, for those who sit or stand too long)

Dependent Edema

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16

In what type of Edema does fluid move into spaces where it shouldn’t be like the peritoneum or the pleural cavity?

Third space Edema

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17

What type of pressure is when the pressure in the blood vessel is too high, more fluid leaks into the tissues?

Increase capillary filtration pressure

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18

What type of pressure is when fluid stays in the tissue because of low amounts of protein that would pull the fluid back in?

Decreased Capillary Osmotic Pressure

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19

When blood vessels become leaky and fluid escapes into the tissues this is called?

Increased Capillary Permeability

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20

When fluid accumulates due to a blocked lymphatic system being unable to drain excess fluid it is called?

Obstruction of Lymphatic Flow

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21

What is the smallest of plasma protein?

Albumin

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22

What is the term for low albumin?

hypoalbuminemia

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23

Hypoalbuminemia causes what to occur in the bloodstream leading to Edema?

Low oncotic pressure

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24

What does albumin do?

Pulls water into your blood vessels to maintain oncotic/colloidal osmotic pressure.

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25
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26

1.8 mg/dL, low level of magnesium in the blood

Hypomagnesemia

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27

> 3.0 mg/dL, high level of magnesium in the blood

Hypermagnesemia

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28

> 4.5 mg/dL, high level of phosphate in the blood

Hyperphosphatemia

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29

< 2.5 mg/dL, low level of phosphate in the blood

Hypophosphatemia

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30

< 8.5 mg/dL, low level of calcium in the blood

Hypocalcemia

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31

> 10.5 mg//dL, high level of calcium in the blood

Hypercalcemia

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32

What facilitates the absorption of calcium?

Vitamin D

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33

An increase in calcium in the blood means a

decrease of phosphate

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34

A decrease of calcium in the blood means a

increase of phosphate

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35

Hyperkalemia is associated with

Metabolic Acidosis

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36

Hypokalemia is associated with

Metabolic Alkalosis

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37

For Hypokalemia what does the ECG look like?

Depression of ST segment, U wave

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38

Excessive water loss due to high concentration of sodium in the blood

Hypernatremia

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39

Decreased serum sodium with increased ECF volume

Hypervolemic hyponatremia

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40

decreased serum sodium with decreased ECF volume

Hypovolemic hypotonic hyponatremia

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41

decreased serum sodium with normal ECF

Normovolemic hyponatremia

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