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FLUID, ELECTROLYTES, ACIDBASE AND SHOCK(液体、电解质、ACIDBASE和冲击)
FLUID, ELECTROLYTES, ACID-BASE AND SHOCK
Objectives:
1. Discuss the importance of fluids, electrolytes and acid-base elements in
ensuring/maintaining proper body function.
2. Describe the movement of fluids, electrolytes and other substances throughout the
body by the following: diffusion, osmosis, pressure differential, and other essential
mechanisms.
3. Relate common fluid, electrolyte, and acid-base laboratory values and diagnostic
tests
to normal physiology and pathological disease processes.
4. Discuss common causes of fluid, electrolyte and acid-base imbalances
5. Discuss nursing responsibilities for assessment, identification, treatment and
follow-
up of fluid, electrolyte and acid-base imbalances
6. Discuss nursing responsibilities for hypovolemic, cardiogenic, neurogenic,
anaphylactic
and septic shock .
Readings:
1. Lewis, Medical-Surgical Nursing: 7th edition, chapter 17 and 67; 6th edition,
chapters 16 and 65.
2. Emergency: Hyperkalemia, AJN, Jan 2000, article following content
3. “Management of Hyponatremia,” Kian Peng Goh, American Family Physician, May
15, 2004, /p/articles/mi_m3225/is_10_69/ai_n6048503
Please utilize the readings to supplement and further elaborate the topics below, to fulfill the
objectives of the course.
FLUIDS, ELECTROLYTES and ACID-BASE STATUS
I. GENERAL CONSIDERATIONS:
A. The body likes to remain in balance and employs various mechanisms to
help maintain homeostasis
B. Acute rapid changes in fluids and/or electrolytes are more ominous than
slow gradual changes
C. Water, electrolytes and other substances are present in many different
areas of the body, yet serum laboratory values only measure conditions in
1
the intravascular space so cellular and other changes often must be
inferred
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