Foundations of Nursing : Fluid and Electrolyte

acid-base balance

homeostasis of the hydrogen ion (H+) concentration in the body fluid

active transport

the movement of materials across the membrane of a cell by means of chemical activity

adenosine triphosphate

a substance produced in the mitochondria from nutrients and is capable of releasing energy that in turn enable the cell to work

anions

negatively charged ion that, when in solution, is attracted to the positive electrode

bicarbonate

a main anion of the extracellular fluid

blood buffers

chemical sponges, circulate through the body in pairs, neutralizing excess acids or bases by contributing or accepting hydrogen ions

calcium

silvery yellow metal; the most abundant mineral in the body; a positively charged ion, known as a cation

cations

positively charged ion that, when in solution, is attracted to the negatively charged electrode

chloride

negatively charged extracellular anion; a salt of hydrochloride acid

diffusion

a process in which solid particles in a fluid move from an area of higher concentration to an area of lower concentration

electrolytes

substance that is sometimes called a mineral or salt; develops tiny electrical charges when dissolved in water and breaks up into particles known as ions

extracellular

fluid outside the cells of the body

filtration

the transfer of water and dissolved substances from an area of higher pressure to an area of lower pressure

homeostasis

a relative constancy in the internal environment of the body, naturally maintained by adaptive responses that promote healthy survival

hypertonic

a solution of higher osmotic pressure

hypotonic

a solution of lover osmotic pressure

interstitial

fluid between the cells or in the tissues of the body

intracellular

fluid inside the cells of the body

intravascular

fluid or plasma within the vessels of the body

ions

electronically charged particle resulting from the breakdown of an electrolyte; negatively or positively charged

isotonic

having equal tension designating or of a salt solution. having the same osmotic pressure as blood

magnesium

the second most abundant cation in the intracellular fluid of the body

milliequvalent (mEq)

number of grams of soluble substance dissolved in 1 mL of normal solution

osmosis

passage of water across a selectively permeable membrane; the water moves from a less concentrates solution to a more concentrated solution

passive transport

the movement of small molecules across the membrane of a cell by diffusion

phosphorus

chiefly, an intracellular anion in fluid of the body

potassium

the dominant intracellular cation

sodium

the most abundant electrolyte in the body; the major extracellular electrolyte; it is a cation

hyponatremia

a less-than-normal concentration of sodium in the blood; sodium level drops to less than 134 mEq/L

hypernatremia

a greater-than-normal concentration of sodium; sodium level exceeds 145mEq/L

hypokalemia

decrease in the body's potassium level; less than 3.5 mEq/L

hyperkalemia

increase in the body's potassium level; greater than 5 mEq/L

hypochloremia

usually occurs when sodium is lost, because sodium and chloride are usually paired

hyperchloremia

rarely occurs but is possible when bicarbonate levels fall

hypocalcemia

develops when the serum level is less than 4.5 mEq/L

hypercalcemia

develops when calcium levels exceed 5.8 mEq/L

hypophosphatemia

possible as a result of a dietary insufficiency, impaired kidney function, or maldistribution of phosphate

hyperphosphatemia

most commonly occurs as a result of renal insufficiency

hypomagnesemia

develops when blood levels fall to less than 1.5 mEq/L

hypermagnesemia

develops when blood levels exceed 2.5 mEq/L