10: Fluid, Electrolyte, and Acid-Base Imbalances
- Page ID
- 111153
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\(\newcommand{\avec}{\mathbf a}\) \(\newcommand{\bvec}{\mathbf b}\) \(\newcommand{\cvec}{\mathbf c}\) \(\newcommand{\dvec}{\mathbf d}\) \(\newcommand{\dtil}{\widetilde{\mathbf d}}\) \(\newcommand{\evec}{\mathbf e}\) \(\newcommand{\fvec}{\mathbf f}\) \(\newcommand{\nvec}{\mathbf n}\) \(\newcommand{\pvec}{\mathbf p}\) \(\newcommand{\qvec}{\mathbf q}\) \(\newcommand{\svec}{\mathbf s}\) \(\newcommand{\tvec}{\mathbf t}\) \(\newcommand{\uvec}{\mathbf u}\) \(\newcommand{\vvec}{\mathbf v}\) \(\newcommand{\wvec}{\mathbf w}\) \(\newcommand{\xvec}{\mathbf x}\) \(\newcommand{\yvec}{\mathbf y}\) \(\newcommand{\zvec}{\mathbf z}\) \(\newcommand{\rvec}{\mathbf r}\) \(\newcommand{\mvec}{\mathbf m}\) \(\newcommand{\zerovec}{\mathbf 0}\) \(\newcommand{\onevec}{\mathbf 1}\) \(\newcommand{\real}{\mathbb R}\) \(\newcommand{\twovec}[2]{\left[\begin{array}{r}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\ctwovec}[2]{\left[\begin{array}{c}#1 \\ #2 \end{array}\right]}\) \(\newcommand{\threevec}[3]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\cthreevec}[3]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \end{array}\right]}\) \(\newcommand{\fourvec}[4]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\cfourvec}[4]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \end{array}\right]}\) \(\newcommand{\fivevec}[5]{\left[\begin{array}{r}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\cfivevec}[5]{\left[\begin{array}{c}#1 \\ #2 \\ #3 \\ #4 \\ #5 \\ \end{array}\right]}\) \(\newcommand{\mattwo}[4]{\left[\begin{array}{rr}#1 \amp #2 \\ #3 \amp #4 \\ \end{array}\right]}\) \(\newcommand{\laspan}[1]{\text{Span}\{#1\}}\) \(\newcommand{\bcal}{\cal B}\) \(\newcommand{\ccal}{\cal C}\) \(\newcommand{\scal}{\cal S}\) \(\newcommand{\wcal}{\cal W}\) \(\newcommand{\ecal}{\cal E}\) \(\newcommand{\coords}[2]{\left\{#1\right\}_{#2}}\) \(\newcommand{\gray}[1]{\color{gray}{#1}}\) \(\newcommand{\lgray}[1]{\color{lightgray}{#1}}\) \(\newcommand{\rank}{\operatorname{rank}}\) \(\newcommand{\row}{\text{Row}}\) \(\newcommand{\col}{\text{Col}}\) \(\renewcommand{\row}{\text{Row}}\) \(\newcommand{\nul}{\text{Nul}}\) \(\newcommand{\var}{\text{Var}}\) \(\newcommand{\corr}{\text{corr}}\) \(\newcommand{\len}[1]{\left|#1\right|}\) \(\newcommand{\bbar}{\overline{\bvec}}\) \(\newcommand{\bhat}{\widehat{\bvec}}\) \(\newcommand{\bperp}{\bvec^\perp}\) \(\newcommand{\xhat}{\widehat{\xvec}}\) \(\newcommand{\vhat}{\widehat{\vvec}}\) \(\newcommand{\uhat}{\widehat{\uvec}}\) \(\newcommand{\what}{\widehat{\wvec}}\) \(\newcommand{\Sighat}{\widehat{\Sigma}}\) \(\newcommand{\lt}{<}\) \(\newcommand{\gt}{>}\) \(\newcommand{\amp}{&}\) \(\definecolor{fillinmathshade}{gray}{0.9}\)- 10.0: Introduction
- The page emphasizes the importance of maintaining balanced fluids, electrolytes, acids, and bases in the body to support physiological processes and overall metabolism. Imbalances in these components, commonly seen in various medical conditions, can disrupt multiple body systems and lead to serious consequences, including death, if untreated. Thus, it is crucial for all nurses to understand the treatment and management of fluid, electrolyte, and acid-base imbalances in their practice.
- 10.1: Maintaining Homeostasis
- This section focuses on the body's fluid balance and homeostasis, highlighting the role of kidneys, lungs, and endocrine glands. It discusses the composition of body fluids, outlining the significance of fluid compartments and their regulation. Mechanisms such as oncotic and hydrostatic pressure, osmosis, and routes of fluid gain and loss are described.
- 10.2: Fluid Disturbances and Replacement
- The page provides an in-depth discussion on hypovolemia and hypervolemia, focusing on their pathophysiology, clinical manifestations, diagnostics, and nursing care. It outlines the causes, risk factors, and symptoms of each condition, as well as the assessments and laboratory values used in diagnosis. Nursing interventions, including fluid replacement methods, intake/output monitoring, and recognizing early signs, are emphasized.
- 10.3: Electrolyte Imbalance
- The page discusses various electrolyte imbalances focusing on key electrolytes like potassium, sodium, calcium, magnesium, phosphorus, and chloride. It examines their pathophysiology, clinical manifestations, diagnostics, and treatment strategies. It also outlines nursing care plans for managing these imbalances, emphasizing the need for monitoring, intervention for complications, and interdisciplinary collaboration.
- 10.4: Acid-Base Imbalance
- This page provides an in-depth overview of acid-base imbalances in the human body. It outlines learning objectives for understanding the pathophysiology, clinical manifestations, and nursing care for acid-base imbalances. It discusses the function of kidneys and lungs in maintaining acid-base balance, the role of arterial blood gases (ABG) in diagnosis, and how imbalances like metabolic and respiratory acidosis and alkalosis are identified and treated.
- 10.5: Summary
- The document outlines key concepts surrounding maintaining homeostasis, addressing fluid disturbances, electrolyte imbalances, and acid-base imbalances. It emphasizes the importance of fluid balance via intracellular and extracellular compartments and mechanisms like ADH and RAAS. It details treatments for hypovolemia and hypervolemia and explores the impact of electrolyte imbalances on body systems.
- 10.8: References
- The document appears to be a list of references related to various medical topics, including hypokalemia, fluid overload, hypervolemia, the renin-angiotensin-aldosterone system (RAAS), vasopressin, hyperkalemia, hypernatremia, hyponatremia, renal physiology, blood volume, hyperchloremic acidosis, and adult dehydration. There is also mention of an IV fluids and solutions guide.