Thyroid Disease

Adrenalectomy

Psych r/t:

Prader Willi Syndrome

Chronic Renal Failure CRF

Type of dialysis: Hemodialysis: Purpose: pull fluid and electrolytes to help maintain homeostasis by removing waste and toxic material. But this can cause disequilibrium syndrome r/t pulling of solute and rapid shift of fluid from body/brain cell. Hold blood pressure medication before the patient receives dialysis. Re-assessed BP after dialysis. Peritoneal Dialysis Does not require

Isotonic Fluid Solution

Isotonic Fluid: 0.9% Sodium Chloride, Lactated Ringer, and 5% Dextrose in water D5W 0.9 % Sodium Chloride ( Normal Saline) Na+ 154 mEQ / LCl− 154 mEq/L(308 mOsm/L) The only solution is given w/ blood productSame tonicity as the plasma (human) ( prevention hypertonicity/hypotonicity)Used to expand the ECF volume. shock, hypovolemic state, resuscitation, DM ketoacidosis,

Hypovolemic

Hypovolemic is also known as Fluid Volume Deficit occur when the loss of water and electrolyte; blood loss, burn, diarrhea vomiting/emesis, pyrexia, diaphoresis, GI suction, third space shift, decrease intake, diabetes inspidus, and uncontrolled DM. common cause: severe dehydration, rapid fluid loss (GI, blood, polyuria), and vasodilation. S/s: poor tissue perfusion, LOC, mucus membrane discoloration,

Aterial Blood Gas / ABG Scale

PH Normal Value: 7.35- 7.45 PCo2 ( Respiratory Component) Normal Value: 35-45 HCO3 ( Metabolic Component) Normal Value: 22-26 Decrease = Acidic Decrease = Alkaline Decrease = Acidic Increase = Alkaline Increase = Acidic Increase = Alkaline Respiratory  value increase/decrease opposite PH Example: decrease ph and increase PCO3 indicate respiratory acidosis PH ↑ PC02 ↓

Fluid-Balance Term

acidosis:an acid–base imbalance characterized by an increase in H+ concentration (decreased blood pH) (A low arterial pH due to reduced bicarbonate concentration is called metabolic acidosis; a low arterial pH due to increased PCO2 is called respiratory acidosis.) ascites: a type of edema in which fluid accumulates in the peritoneal cavity active transport: physiologic pump that moves fluid from