Med Surg Exam 2 Complete study guide|Galen College of Nursing - NUR 242 MS Exam 2.

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Med Surg Exam 2 Complete study guide|Galen College of Nursing - NUR 242 MS Exam 2.Chap 11 Fluid compartments Intracellular 60% Contained within the cell body About 25L Veins, arteries, capillaries, he... art, etc Extracellular 33% Most important area of homeostasis, area outside of cells Divided into intravascular space and interstitial space Extracellular fluid volume is about 15L In-between the cells Fluid Balance Closely linked to/affected by electrolyte concentrations Fluid intake 2.3-3L a day Fluid loss Minimum urine amount needed to excrete toxic waste products= 400-600 mL/day Insensible water loss-through skin, lungs, stool. Usually 500 to 1L a day This increases during a fever, tachypnea and extreme stress Facts to remember Any fluid imbalances that occur=continuous assessment of UOP Urine output Dehydrated pts, CHF, RF, Fluid volume deficient, and fluid volume overload IV fluids, diuretics Daily weights 1L of water weighs 2.2lb, equal to 1kg Weight change of 1lb= fluid volume change of about 500 mL Fluid volume deficit: Dehydration Fluid intake/retention does not meet bodys fluid needs; results in fluid volume deficit Assessment Thread and increased pulse rate; decreased BP; lethargy; decreased UOP; dry mucous membranes; constipation; thirst Increased H&H (hemoconcentration), BUN, sodium, and urine specific gravity Causes-vomiting, diarrhea, ileostomy, laxatives, burns, fever, diuretics, GI suctioning, and NPO Interview/risk factors Inquire about recent dietary habits Use of OTC diuretics Outdoor activities Weight gain and weight loss Who at risk: hemorrhage, vomiting, diaherra, excessive sweating, NPO, sustained burn wounds, GI suction, Diuretics, uncontrolled diabetes, Poor intake [Show More]

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