Fluid & Electrolyte Imbalance. How to keep things flowing along!. Lisa B. Flatt, RN, MSN, CHPN. Body Fluids. Body mostly composed of: fluid –water solutes - electrolytes
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How to keep things flowing along!
Lisa B. Flatt, RN, MSN, CHPN
**Calcium and Phosphate work together – form bone and teeth --- if one is high the other is lower
Hyperphosphatemia – Phosphates shift out of cell (trauma, chemo, malignant tumor), at risk – infants fed cow milk ((Fleets phosophosoda))
S/S – numbness, tingling **Around mouth and fingers** muscle spasm, tetany
Nursing interventions: Diet, Medications, IV Fluids, Education
Give ACE inhibitor – stops angiotensin I to II and aldosterone (thereby lowers BP). This may also affect the ability of the body to maintain extracellular fluid (without edema).
Pitting – leaves a small depression or pit
Areas of edema: body parts, periorbital edema, axillary, groin, generalized
Note how many seconds it takes for pit to disappear (normally 10-30seconds)