DOÑA REMEDIOS TRINIDAD ROMUALDEZ MEDICAL FOUNDATION, INC.

COLLEGE OF NURSING
2nd semester S.Y. 2019-2020

WORKSHEET ON FLUID, ELECTROLYTES, & ACID BASE BALANCE

BASIS FOR GRADING YOUR WORKSHEET:

Required Contents – Sensible, complete, well-thought of definition of terms with

Illustration.
Effort – If the student has worked at their best/excellent level
Worksheet completion: How much of the worksheet was completed?

TEST I – 40 POINTS
TEST II – 30 POINTS
TEST III – 30 POINTS

TOTAL – 100 POINTS

TEST I. Give the corresponding normal values of most electrolytes:

ELECTROLYTE NORMAL VALUES

TOTAL BODY WATER

 MALE
 FEMALE

TOTAL BODY WEIGHT (MALE)

% SOLIDS
% FLUIDS

TOTAL BODY WEIGHT

(FEMALE)
% SOLIDS
% FLUIDS

NORMAL PHYSIOLOGY OF THE

BODY
 %INTRAVASCULAR
WATER
 %INTERSTITIAL WATER
 %INTRACELLULAR
WATER
NORMAL DAILY OUTPUT
 URINE
 STOOL
 SWEAT
 RESPIRATORY & SKIN
INSENSIBLE LOSSES

NORMAL DAILY ENDOGENOUS

INPUT
*OXIDATION OF
CARBOHYDRATES AND FAT

TOTAL WATER INTAKE NEEDED

BY THE BODY:

3 CASE SCENARIOS on Fluid and Electrolytes Computation:

Case Scenario #1
Natascha is a 19 year-old Athlete from DVOREF, how much water does she need
to drink each day, if her weight is 45 kg.

Case Scenario #2
Natascha is a child weighing 30 kg, using the 4-2-1 formula, calculate the
maintenance water required for her. How many ml per day of water does she need,
and how many ml per hour.

Case Scenario #3
Natascha, a 11 year-old 15 kg girl was admitted and had the following input-
output ratio from a 3-11pm shift.
Estimate the patient’s 8 hour (3-11pm) output
4pm – 100ml urine
4pm – suction canister 50ml
4pm – chest tube 15ml
6pm – Urine 150ml
6pm -chest tube 10ml
8pm – urine 110ml
8pm – chest tube 5ml
8pm – suction 50ml
11pm – urine 60ml

What is the difference between the patient’s intake and output above?
TEST II. GIVE THE DEFINITION OF THE FOLLOWING:

TERMS DEFINITION

 CATIONS
 ANIONS
 INTRACELLULAR FLUID
 EXTRACELLULAR FLUID
 INTERSTITIAL FLUID
 INTRAVASCULAR FLUID
 TRANSCELLULAR FLUID
 CEREBROSPINAL FLUID
 HYDROSTATIC PRESSURE
 OSMOTIC PRESSURE
 ISOTONIC SOLUTION
 HYPERTONIC SOLUTION
 HYPOTONIC SOLUTION
 ELETROLYTES
 SOLUTES
 MW (Molecular Weight)
 mEq
 mOsm
 DIFFUSION
 OSMOSIS
 ACTIVE TRANSPORT

3 FACTORS THAT MAINTAINS

HOMEOSTASIS:

3 MAIN ELETROLYTES:
 TEST III: ESSAY.
“Why is Fluid and Electrolyte Balance important?”
& GIVE THE NURSING RESPONSIBILITIES DURING IV THERAPY
AND BLOOD TRANSFUSION.