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Fluids and electrolytes منتدى تمريض مستشفى غزة الاوروبي

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منتديات تمريض مستشفى غزة الاوروبي

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Prepared by ABED SHAGORA In-service Education Department EGH 2011 - 2012 FLUIDS and ELECTROLYTES
 
FLUIDS and ELECTROLYTES ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
BODY FLUIDS Distribution of Body Fluids – 50-70% of total body weight; infant [70-80%], elderly [45-50%] ICF ECF 40% TBW 20% TBW P IS 60-kg man TBW = 0.6 x 60 kg = 36 L ICF = 0.4 x 60 kg = 24 L ECF = 12 L 3L 9L
[object Object],[object Object],[object Object],Normal Routes of water gain and loss INTAKE OUTPUT ml /day ml /day Fluid intake 1,200 Food 1,000 Metabolic water 300 TOTAL 2,500 Insensible loss 700 Sweat 100 Feces 200 Urine 1,500 TOTAL 2,500
FLUID EXCHANGE BETWEEN BODY FLUID COMPARTMENTS Osmotic Pressure Gradient Oncotic P (Colloid osmotic P) Capillary P (Hydrostatic P) 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]
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object]
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object]
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
DISTURBANCES IN FLUID BALANCE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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 disease Volume ECF ICF Water Conditions Disorder Vol. Vol. Shift
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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, HCO3- 27 29 10 Biphosphate, HPO4- 2 2 100 Sulfate, SO4-2 1 1 20 Protein 16 1 60 Organic foods 6 3.4 - (155)
ELECTROLYTES ,[object Object],[object Object],[object Object],[object Object]
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ELECTROLYTES
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],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
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],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
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],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
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],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
[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],ELECTROLYTES
IV FLUID REPLACEMENT THERAPY ,[object Object],[object Object],[object Object],[object Object],[object Object]
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BURNS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],B U R N S
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],B U R N S
ASSESSMENT Burn Evaluation Chart B U R N S 9% 9% 9% Front=18% Back=18% 18% 18% 1%
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],B U R N S
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],B U R N S
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],B U R N S
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],B U R N S

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Fluids and electrolytes منتدى تمريض مستشفى غزة الاوروبي

  • 2. Prepared by ABED SHAGORA In-service Education Department EGH 2011 - 2012 FLUIDS and ELECTROLYTES
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  • 5. BODY FLUIDS Distribution of Body Fluids – 50-70% of total body weight; infant [70-80%], elderly [45-50%] ICF ECF 40% TBW 20% TBW P IS 60-kg man TBW = 0.6 x 60 kg = 36 L ICF = 0.4 x 60 kg = 24 L ECF = 12 L 3L 9L
  • 6.
  • 7. FLUID EXCHANGE BETWEEN BODY FLUID COMPARTMENTS Osmotic Pressure Gradient Oncotic P (Colloid osmotic P) Capillary P (Hydrostatic P) ICF ECF P ISF
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  • 15. 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 disease Volume ECF ICF Water Conditions Disorder Vol. Vol. Shift
  • 16.
  • 17. 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, HCO3- 27 29 10 Biphosphate, HPO4- 2 2 100 Sulfate, SO4-2 1 1 20 Protein 16 1 60 Organic foods 6 3.4 - (155)
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  • 44. ASSESSMENT Burn Evaluation Chart B U R N S 9% 9% 9% Front=18% Back=18% 18% 18% 1%
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