Fluid and Electrolytes made easy study notes.
Fluid and Electrolytes
Homeostasis
t State of equilibrium in internal environment of body, naturally maintained by adaptive responses that promote healthy survival
t Body fluids and electrolytes play an important role
Water Content of the Body
t Accounts for 60% of body weight in adult
t 70-80% of body weight in infant
t Varies with gender, body mass, and age
Compartments
t Intracellular fluid (ICF)
t Extracellular fluid (ECF)
l Intravascular (plasma)
l Interstitial
t Transcellular
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IV
t Common replacement fluid
D5 _ NS
t Hypertonic
t Common maintenance fluid
t KCl added for maintenance or replacement
D5 _ NS
t Provides calories
l Prevents ketosis
t Moves into ICF
t Usually compatible with medications
D10W
t Hypertonic
t Provides 340 kcal/L
t Free water
t Limit of dextrose concentration may be infused peripherally
Plasma Expanders
t Pull fluid into IV from interstitium
t Colloids
l Packed RBCs
l Albumin
l Plasma
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