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Nio Cruzada Noveno, RN, MAN, MSN Fluids & Electrolytes
BODY FLUIDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
Renal Disorders [email_address] FLUIDS and ELECTROLYTES FLUIDS and ELECTROLYTES BODY FLUIDS ICF ECF 40%  TBW 20%  TBW P IS Distribution of Body Fluids:  50-70% of total body weight;   infant [70-80%], elderly [45-50%] 60-kg man TBW = 0.6 x 60 kg = 3.6 L ICF = 0.4 x 60 kg = 24 L ECF  =12 L 3L 9L
BODY FLUIDS ,[object Object],[object Object],[object Object],Normal Routes of water gain and loss Renal Disorders [email_address] FLUIDS and ELECTROLYTES INTAKE OUTPUT ml/day ml/day Fluid intake 1,500 Food   800 Metabolic water   300 TOTAL 2,600 Insensible loss   400 Sweat   600 Feces     100 Urine 1,500 TOTAL 2,600
FLUID EXCHANGE BETWEEN BODY FLUID COMPARTMENTS Osmotic Pressure Gradient Oncotic P  (Colloid osmotic P) Capillary P  (Hydrostatic P) Renal Disorders [email_address] FLUIDS and ELECTROLYTES ICF ECF P ISF
Control of Osmotic Pressure, Volume & Electrolyte Concentration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES FLUIDS and ELECTROLYTES
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
Renal Disorders [email_address] FLUIDS and ELECTROLYTES Volume Disorders 2° Alteration in Sodium Balance Expansion Isotonic  Inc  N  No net change  Isotonic fluid   ingestion Hypertonic  Inc  Dec  ICF     ECF  Sea water   ingestion Hypotonic  Inc  Inc  ECF    ICF  Hypotonic IVF Contraction  Isotonic  Dec  N  No net change  Diarrhea Hypertonic  Dec  Dec  ICF     ECF  Diabetes insipidus Hypotonic  Dec  Inc  ECF    ICF     Addison’s dse   Volume  ECF  ICF  Water   Conditions Disorder  Vol.  Vol.  Shift
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
ELECTROLYTE Composition Electrolyte Conc   Plasma  (mEq/L)   ISF  ICF Sodium, Na + 142   141   10  Potassium,  K +   5 4.1 150 Calcium, Ca ++   5 4.1   - Magnesium, Mg ++     3  3    40   (155) Chloride, Cl - 103   115   15 Bicarbonate, HCO 3 -   27   29    10 Biphosphate, HPO 4 -   2  2  100 Sulfate, SO 4 -     1  1  20 Protein   16  1  60 Organic foods  6  3.4  -   (155) Renal Disorders [email_address] FLUIDS and ELECTROLYTES
ELECTROLYTES ,[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES FLUIDS and ELECTROLYTES
Hyponatremia Drugs that cause decreased sodium  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
Hypernatremia  ,[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
Hyperkalemia Drugs that increase potassium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
Hypokalemia  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
Hypokalemia Drugs that decrease potassium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
Hypercalcemia Drugs that increase calcium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES Renal Disorders [email_address] FLUIDS and ELECTROLYTES
Hypomagnesemia Drugs that decrease magnesium ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
Hypomagnesemia  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
Dietary sources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
IV FLUID REPLACEMENT THERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
IV FLUID REPLACEMENT THERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] FLUIDS and ELECTROLYTES
BURNS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
ASSESSMENT Burn Evaluation Chart Renal Disorders [email_address] B U R N S 9% 9% 9% Front= 18% Back= 18% 18% 18% 1%
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address] B U R N S
ACID-BASE DISORDERS Renal Disorders [email_address] Disorder Clinical manifestation Compensation  Respiratory acidosis ↑ Paco 2 , ↑ or normal HCO 3 - , ↓ pH Kidneys eliminate H +  and retain HCO 3 - Respiratory alkalosis ↓  Paco 2 , ↓ or normal HCO 3 - , ↑ pH Kidneys conserve H +  and eliminate HCO 3 - Metabolic acidosis ↓  or normal Paco 2 , ↓HCO 3 - , ↓ pH Lungs eliminate CO 2  and conserve HCO 3 - Metabolic alkalosis ↑  or normal Paco 2 , ↑HCO 3 - , ↑ pH Lungs hypoventilate to ↑ Paco 2 , kidneys conserve H +  excrete HCO 3 -
Causes of Acid-Base Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
Causes of Acid-Base Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
Causes of Acid-Base Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
Causes of Acid-Base Disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Renal Disorders [email_address]
Interpretation  Renal Disorders [email_address] UC PC FC pH ↓  or ↑ ↓  or ↑ normal HCO 3 - ↓  or ↑ normal ↓  or ↑ ↓  or ↑ Paco 2 ↓  or ↑ normal ↓  or ↑ ↓  or ↑
Nio Cruzada Noveno, RN, MAN, MSN Fluids & Electrolytes

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Fluids & electrolytes

  • 1. Nio Cruzada Noveno, RN, MAN, MSN Fluids & Electrolytes
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  • 3. Renal Disorders [email_address] FLUIDS and ELECTROLYTES FLUIDS and ELECTROLYTES BODY FLUIDS ICF ECF 40% TBW 20% TBW P IS Distribution of Body Fluids: 50-70% of total body weight; infant [70-80%], elderly [45-50%] 60-kg man TBW = 0.6 x 60 kg = 3.6 L ICF = 0.4 x 60 kg = 24 L ECF =12 L 3L 9L
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  • 5. FLUID EXCHANGE BETWEEN BODY FLUID COMPARTMENTS Osmotic Pressure Gradient Oncotic P (Colloid osmotic P) Capillary P (Hydrostatic P) Renal Disorders [email_address] FLUIDS and ELECTROLYTES ICF ECF P ISF
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  • 13. Renal Disorders [email_address] FLUIDS and ELECTROLYTES Volume Disorders 2° Alteration in Sodium Balance Expansion Isotonic Inc N No net change Isotonic fluid ingestion Hypertonic Inc Dec ICF  ECF Sea water ingestion Hypotonic Inc Inc ECF  ICF Hypotonic IVF Contraction Isotonic Dec N No net change Diarrhea Hypertonic Dec Dec ICF  ECF Diabetes insipidus Hypotonic Dec Inc ECF  ICF Addison’s dse Volume ECF ICF Water Conditions Disorder Vol. Vol. Shift
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  • 15. ELECTROLYTE Composition Electrolyte Conc Plasma (mEq/L) ISF ICF Sodium, Na + 142 141 10 Potassium, K + 5 4.1 150 Calcium, Ca ++ 5 4.1 - Magnesium, Mg ++ 3 3 40 (155) Chloride, Cl - 103 115 15 Bicarbonate, HCO 3 - 27 29 10 Biphosphate, HPO 4 - 2 2 100 Sulfate, SO 4 - 1 1 20 Protein 16 1 60 Organic foods 6 3.4 - (155) Renal Disorders [email_address] FLUIDS and ELECTROLYTES
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  • 51. ASSESSMENT Burn Evaluation Chart Renal Disorders [email_address] B U R N S 9% 9% 9% Front= 18% Back= 18% 18% 18% 1%
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  • 60. ACID-BASE DISORDERS Renal Disorders [email_address] Disorder Clinical manifestation Compensation Respiratory acidosis ↑ Paco 2 , ↑ or normal HCO 3 - , ↓ pH Kidneys eliminate H + and retain HCO 3 - Respiratory alkalosis ↓ Paco 2 , ↓ or normal HCO 3 - , ↑ pH Kidneys conserve H + and eliminate HCO 3 - Metabolic acidosis ↓ or normal Paco 2 , ↓HCO 3 - , ↓ pH Lungs eliminate CO 2 and conserve HCO 3 - Metabolic alkalosis ↑ or normal Paco 2 , ↑HCO 3 - , ↑ pH Lungs hypoventilate to ↑ Paco 2 , kidneys conserve H + excrete HCO 3 -
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  • 65. Interpretation Renal Disorders [email_address] UC PC FC pH ↓ or ↑ ↓ or ↑ normal HCO 3 - ↓ or ↑ normal ↓ or ↑ ↓ or ↑ Paco 2 ↓ or ↑ normal ↓ or ↑ ↓ or ↑
  • 66. Nio Cruzada Noveno, RN, MAN, MSN Fluids & Electrolytes

Notas del editor

  1. Again, treatment goals are to ideally restore Na to their normal range – between 135 – 145. The most effective treatment, however, is prevention. Because thirst mechanism is oftentimes altered in ill clients, our role as providers of care is to help encourage appropriate hydration in the ill client. Early detection and treatment is necessary to help avoid serious consequences.