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Fluid Disorders Lecture 2 Volume Overload

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alchemist04's version from 2016-06-23 22:55

Section

Question Answer
Causes of Volume Overload (1)(1) Increased fluid or Salt in take
Causes of Volume Overload (2)(2) Decrease fluid excretion
T or F? Increase in fluid volume generally related to increase in total sodiumTrue
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Question Answer
What could cause decreased fluid excretion? (1)(1) Renal dysfunction; decreased renal perfusion will cause increase in salt and water retention
What could cause decreased fluid excretion? (2)(2) Heart failure; decrease cardiac output will cause decrease renal perfusion and cause increase in salt and water retention
What could cause decreased fluid excretion? (3)(3) Advanced liver disease; decrease albumin synthesis will cause decrease Oncotic pressure in circulation. This will cause Sodium and water retention + third spacing.
What could cause decreased fluid excretion? (4)(4) Syndrome of inappropriate antidiuretic hormone secretion (SIADH) which leads to ADH secretion and causes free water retention
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Question Answer
Manifestations of Volume overload include (1)(1) Peripheral Edema and Acute weight gain
Manifestations of Volume overload include (2)(2) Orthopnea and shortness of breath (Orthopnea means shortness of breath when lying down)
Manifestations of Volume overload include (3)(3) Pulmonary congestion and edeman on X-ray
Manifestations of Volume overload include (4)(4) Increased BP and Ascites (the accumulation of fluid in the peritoneal cavity, causing abdominal swelling.)
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Question Answer
Treatment of Vol. overload (1)(1) treat underlying cause of the problem
Treatment of Vol. overload (2)(2) embark of Fluid and salt restriction
Treatment of Vol. overload (3)(3) Give diuretics
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Question Answer
Bumetanide(Bumex); loop diuretics
TorsemideDemadex; loop diuretics
FurosemideLasix; loop diuretics
Ethacrynic acidEdecrin; loop diuretics
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Question Answer
Counseling points (Monitor) (1)(1) Fluid and sodium restriction
Counseling points (Monitor) (2)(2) Vital signs like BP, HR, RR, and Oxygenation.
Counseling points (Monitor) (3)(3) Electrolytes
Counseling points (Monitor) (4)(4) Daily Weight
Counseling points (Monitor) (5)(5) Intake and Output
Counseling points (Monitor) (6)(6) Edema
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