Nursing > Study Guide > NR 328 Exam 2 Study Guide | Pediatric Nursing : GI GU Cardiac Burns (All)

NR 328 Exam 2 Study Guide | Pediatric Nursing : GI GU Cardiac Burns

Fluid & Electrolytes Chapter 29: • Signs and symptoms of fluid overload pg. 1056 pg. 949 & 956-957 Generalized edema, pulmonary edema (moist rales & crackles), Hepatomegaly, slow bounding pulse,... weight gain, lethargy, elevated venous pressure, seizures, coma. Lab findings: Decreased serum electrolytes, low urine specific gravity, decreased hematocrit, variable urine volume. • Signs and symptoms of fluid deficit pg. 1056 pg. 949 & 951-955 Top 3: #1 Poor skin turgor #2 abnormal respirations= Tachypnea #3 Prolonged capillary refill >2 secs Tachycardia, dry skin & mucous membranes, sunken eyes & fontanels, irritability, lethargy, thirst, weight loss, diminished urine output, and altered level of consciousness, disorientation. Lab findings: High urine specific gravity, increased hematocrit, increased BUN, increased serum osmolality • Hypo and hyperkalemia & Foods that contain potassium Pg. 1359 pg. 1271  Hypokalemia: o < 3.5 mEq/L o Abnormal EKG; notched or flattened T waves, decreased ST segment, premature ventricular contractions o Muscle weakness, cramping, stiffness, paralysis, hyporeflexia, hypotension, cardiac arrhythmias, gallop rhythm, tachycardia or bradycardia, ileus, apathy, drowsiness, irritability, fatigue  Hyperkalemia: o > 5.5 mEq/L o Variable urine volume o Flat P wave on ECG, peaked T waves, widened QRS complex, increased PR interval o Muscle weakness, flaccid paralysis, twitching, hyperreflexia, bradycardia, ventricular fibrillation and cardiac arrest, oliguria, apnea—respiratory arrest  Foods that contain potassium: Foods with thick skin: Oranges, banana, nuts, squash, carrots, broccoli, kale, tomatoes, beans, avocado, fish, mushrooms • Signs and symptoms of hypo & hypernatremia pg. 1056 pg. 949-950  Hyponatremia (less than 135 mEq): anorexia, nausea, vomiting, weakness, lethargy, confusion, muscle cramps, twitching, & seizures.  Hypernatremia (more than 145 mEq): Thirst, hyperpyrexia (Extremely high fever), sticky mucous membranes, dry mouth, oliguria (diminished urine output) hallucinations, lethargy, irritability, & seizures. • Types of dehydration: Isotonic, hypotonic, hypertonic (see Ecollege:DocSharing: Powerpoints: GI dysfunction)  Babies= ECF > ICF (75% water) leads to more rapid loss  Isotonic Dehydration: This is the primary form of dehydration occurring in children (Na remains normal since H2O loss and electrolyte loss are equal. Leads to shock) H2O loss = electrolyte loss  hypovolemic shock. The major loss is from the ECF. Symptoms are related to hypovolemic shock [Show More]

Last document update: 1 week ago

Preview 1 out of 16 pages

Reviews( 0 )

Study Guide



Document information

Connected school, study & course

About the document


1 week ago

Number of pages


Written in



Study Guide


maxwell Kyalo

Member since 1 month ago

3 Documents Sold

Additional information

This document has been written for:



Paper Category

Study Guide


1 week ago






Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 Questions? Leave a message!

Follow us on

Copyright © Browsegrades · High quality services·