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Fluid and Electrolytes

Across
DKA, lactic acidosis, starvation, diarrhea, shock, decrease pH, PaCO2 normal (uncompensated, decrease PaCO2 (compensated), decrease HCO-3
Headache, peripheral edema, jugular venous distention, crackles, weight gain
Hyperventilation, liver failure, increase pH, decrease PaCO2, HCO-3 normal (uncompensated), decrease HCO-3 (compensated)
COPD, barbiturate or sedative overdose, chest wall abnormality, severe pneumonia, atelectasis, decrease pH, increase PaCO2 , increase HCO-3
EX: 3.0 NSS 10% dextrose, useful for treating hyponatremia, monitor for circulatory overload
Down
Restlessness, drowsiness, decrease of urine output,, increase RR, confusion, lethargy
Vomiting,diuretic therapy, hypokalemia, increase pH, PaCO2 normal, increase PaCO2 (compensated), increase HCO-3
EX: 0.45 NSS, movement of fluid from ECF to ICF, useful in treating hypernatremia, monitor for cerebral edema, can lower BP by depleting ECF
EX: 0.9% NSS, similar to plasma, expands ONLY ECF, lactated ringers, can increase sodium and chloride levels, if those are not depleted monitor for fluid overload