Basic Nursing, Chapter 39 Activity Time

You have had the opportunity to learn about gas exchange and the impact it can have on the body. With this discussion you will need to think about fluid imbalances and how this imbalance can affect the gas exchange of your patient?

 

Required Reading – Basic Nursing, Chapter 39
Activity Time: 1 Hour

Required Reading – Medical-Surgical Nursing, Chapters 11-13
Activity Time: 2 Hours

Suggested Reading

ATI reading: Fundamentals of Nursing 8.0, unit 4 – Physiological Integrity

Section 49 – IV therapy
Section 57 – Fluid and Electrolyte imbalances

ATI reading: Medical-Surgical 9.0, unit 6 – Nursing Care of Clients with Fluid/Electrolyte/Acid-Base Imbalances

Section 43 – Fluid Imbalances
Section 44 – Electrolyte Imbalances
Section 45 – Acid-Base Imbalances

 

This module will focus on fluid and electrolyte imbalances as it pertains to our patient care. First of all, it is important for you to become familiar with the different fluid and electrolyte imbalances. You may be asking why is this so important? Fluid and electrolyte imbalances could kill your patient if you are not aware of what they are and how to recognize them.

As you progress through this module you will read about the different types of fluid and electrolyte imbalances however; I do not want you to be overwhelmed either. You will need to know what clinical signs to look for as well as lab values, but lab values will come in a later course. We will focus on the different types and clinical signs through the discussion and written assignment.

Vocabulary Practice

Rollover the term to learn its definitioN

Intravascular fluid

Isotonic

Oncotic pressure

Os

Semipermeable membranes

Solutes

Transcellular fluid

Free movement of particles (solute)

across permeable membrane from

area of higher to lower concentration​

Charged particles found in body fluids

The fluid located between cells and includes interstitial and intravascular fluid

A solution with a concentration higher than that of blood

A solution with a concentration lower than that of blood

The fluid located between cells

The fluid located inside each cell

The fluid located inside the blood vessels, excluding the fluid inside the cells in the blood vessels

Solution that has the same osmotic pressure as the referent solution (ex plasma)

Osmotic pressure because of proteins

The number of solutes per kilogram of fluid

The number of solutes per liter of fluid

The movement of water from an area of low concentration of solutes (low osmolality) to an area of high concentration of solutes
(high osmolality)

The ability of a solution to draw fluid across a semipermeable membrane

Separation between two areas that allows movement of some fluids or solutes

Particles contained within the fluid that contributes to the concentration or osmolality of the fluid

Fluid that is in neither the intracellular nor extracellular space, and includes cerebrospinal fluid, joint fluid, and the fluid within the gastrointestinal tract