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UNITIII
NursingSciences
UNITIIINursingSciencesChapter9FluidsandElectrolytesChapter10Acid-BaseBalanceChapter11LaboratoryValuesChapter12NutritionChapter13ParenteralNutritionChapter14IntravenousTherapyChapter15AdministrationofBloodProducts
FluidsandElectrolytesChapter9
CRITICALTHINKINGWhatShouldYouDo?ThenursenotesthepresenceofUwavesonaclient’scardiacmonitorscreen.Whataction(s)shouldthenursetake?
PyramidtermsFluidvolumedeficit/excess体液不足/体液过多Homeostasis内稳态Hyper-过高Hypo-过低E.g.Hypertension高血压Hypotension低血压
PyramidtermsSodium钠135-145mEq/LHypernatremiaHyponatremiaCalcium钙8.6-10mg/dLHypercalcemiaHypocalcemiaPotassium钾3.5-5.1mEq/LHyperkalemiaHypokalemia
PyramidtermsMagnesium镁1.6-2.6mg/dLHypermagnesemiaHypomagnesemiaPhosphorus磷2.7-4.5mg/DlHyperphosphatemiaHypophosphatemia
PropertiesofElectrolytesandTheirComponents(BOX9-1)Atom原子Molecule分子Ion离子Cation阳离子[k?ta??n]Anion阴离子
BodyFluidCompartmentsIntracellular(ICF):allfluidinsidethecells(70%)细胞内液Extracellular(ECF):fluidoutsidethecells(30%)细胞外液Interstitial细胞间液Intravascular:fluidinsideabloodvessel血管内液
Third-spacing第三间隙液DiseaseorinjuryFluidmaybetrappedinbodyspacessuchasthepericardial,pleural,peritoneal,orjointcavities;thebowel;ortheabdomen;orwithinsofttissuesaftertraumaorburnsEdema[idi?m?]水肿
BodyFluidInfantsandolderadultsneedtobemonitoredcloselyforfluidimbalances!
ICFismostlywaterandisrichinK+,Mg2+,,SO4,HPO4,andproteinatoms.ECFcontainsmoreNa+,Cl-,HCO3-,andCa2+.
BloodfluidtransportDiffusion扩散–spreadthemoleculesfromanhigherconcentrationtoanareaofLowerconcentration.
Osmosis渗透–fromaLessconcentratedsoluteintoaMoreconcentratedsolute.
Filtration过滤–fromHigherhydrostaticpressuretoaLowerone.Regardingtotheweight.
BodyfluidtransportHydrostaticpressure静水压Osmolality渗透压
BodyfluidintakeandoutputHomeostasis
FluidVolumeDeficit体液不足Dehy
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