Module 2 Part 1 Fluid & Electrolyte Imbalances

A 50 y/o M w/ a 30 year history of alcoholism presents to the clinic with abdominal discomfort. The patient states that his abdomen has grown in size a lot in the past month. Physical Exam: “fluid wave test” was performed and was positive. Which pressure at the capillary level is responsible for the shift of fluid into his abdominal cavity?

• Increased COP

• Increased CHP

• Decreased COP

• Decreased IFOP

What organ is the root cause of the edema for the patient in the previous question?

• Heart

• Liver

• Kidneys

• Spleen

Tags

NGSS.HS-LS1-3

What is the term for edema in the peritoneal cavity?

• Ascites
• Pleural effusion
• Pericardial effusion
• Cerebral edema

You are a nurse working in a large, busy inner-city hospital when the attending physician comes in the room and tells your patient that he has SIADH. The physician puts in a bunch of orders for you and leaves the room. Seeing the fear and confusion on the face of your patient, you feel that you should explain further.

What is SIADH?

• A condition that produces too much of a hormone that makes you retain too much fluid. You urinate less than normal.

• A condition that produces too little of a hormone that makes you retain fluid. You urinate more than normal.

• A condition that produces too little hormone which helps you more thirsty because you urinate more.

• A condition that makes you more thirsty because you urinate less.

Tags

NGSS.HS-LS1-3

What are some possible causes of SIADH?

• Excessive intake of water
• Certain medications, cancers, and diseases affecting the lungs or brain
• High blood sugar levels
• Excessive alcohol consumption

Tags

NGSS.HS-LS1-3

SIADH would cause ___ serum osmolarity and ___ urine osmolarity

• increased, decreased
• decreased, increased
• increased, increased
• decreased, decreased

Tags

NGSS.HS-LS1-3

In SIADH, would serum Na+ be high or low?

• High
• Low
• Neither high nor low
• Depends on the individual

Tags

NGSS.HS-LS1-3

A Px with HTN and right-sided CHF has pitting edema in both ankles. Which pressure imbalance led to their edema?

• Increased hydrostatic pressure in the capillaries
• Decreased osmotic pressure in the capillaries
• Increased osmotic pressure in the interstitial fluid
• Decreased hydrostatic pressure in the interstitial fluid