Type
Word Search
Description

osmolality
pedialyte
poor skin turgor
sodium bicarbonate
potassium
sodium
sensible water loss
insensible water loss
lethargy
electrolytes
fluids
zofran
emesis
diarrhea
oral rehydration therapy

Fluid and Electrolytes Crossword

Type
Crossword
Description

(2 x Na) + (BUN / 2.8) + (glucose / 18) Osmolality
Excess fluid loss with decreased circulating volume Hypovolemia
Hypertonic fluid volume deficit Dehydration
Water and electrolytes are present equally Isotonic
Abbreviation for Calcium Ca
Abbreviation for Sodium Na
Fruits and legumes are sources Potassium
Normal level 8.6- 10.2 Calcium
System affected by sodium imbalance CNS
System affected by potassium imbalance Cardiac
Hyponatremia is low serum _______ Sodium
Having a high serum potassium Hyperkalemic
Effective loop diuretic furosemide
Organ regulating potassium balance Kidney
Forces K from ECF to ICF Insulin
Abbreviation for electrocardiogram ECG
Patient position for oral potassium Upright
Site of calcium storage Bones
Cause of hypercalcemia Cancer
Abbreviation for magnesium Mg
Lowers elevated K and Ca in severe cases Dialysis
Chocolate and peanut butter are sources Magnesium
Hypervolemia is fluid volume _________ Excess
Drug easily toxic with hypokalemia Digoxin
Can't do this with potassium tablet Chew
Indicator of fluid status Weight

Fluid and Electrolyte Review Crossword

Type
Crossword
Description

What precautions would you place a patient on with hypernatremia? Seizure
A nurse would expect an increased or decreased urinary output with hypernatremia? Decreased
Most common electrolyte disorder... Hyponatremia
If the patient has hypophosphatemia, they will most likely have what other electrolyte imbalance? Hypercalcemia
Which electrolyte maintains extracellular fluid? Sodium
Which electrolyte maintains intracellular fluid? Potassium
In a patient with hypercalcemia, the blood will clot faster or slower? Faster
What is a potassium sparing diuretic? Spironolactone
Absorption of calcium requires... Vitamin D
Which electrolylte imbalance might exhibit a positive Trousseau and Chevostek sign? Hypocalcemia
What electrolyte would you monitor for on a patient with thyroid disease? Calcium
What is the most common route of potassium loss? Gastrointestinal
What should you assess first with hypokalemia (patient has normal ECG)? Respiratory
What should be the first assessment completed on a patient with hyperkalemia? Cardiac
Normal saline is.... Isotonic
Describe what the blood is like when the serum osmolarity is >300. Concentrated
Water goes with... Sodium
Tachycardia, flat neck veins, tachypnea, poor turgor, decreased urine output Dehydration
Full and bounding pulse, hypertension, JVD, dyspnea, crackles, pale and cool skin Overhydration

hydration Word Search

Type
Word Search
Description

education
performance
work related accidents
declining productivity
cognitive performance
decision making
dizziness
lightheaded
dry mouth
reusable water bottle
urine color
skin turgor
thirsty
fruit
dehydration
gatorade
powerade
sport drinks
electrolytes
hyponatremia
overhydration
exercise
rehydrating
fatigue
sweating
water
drinking
hydration

Fluid and Electrolytes Crossword

Type
Crossword
Description

Muscle Weakness, cramping, dysrhythmias, Flat/ Inverted T Waves HypoKalemia
Caused by: Renal Failure, Adrenal Insufficiency, Acidosis Hyperkalemia
Caused by: GI Loss, SIADH, Water Intoxication, NPO Status Hyponatremia
Loss of Fluids From the Cells and Tissue Fluid Volume Deficit
Seizures,Coma,Restlessness,Irritability, Muscle twitching to the point of weakness Hypernatremia
Chvostek's Sign, Trousseau's Sign, Tetany, Seizures,Fatigue Hypocalcemia
Lethargy,Decreased reflexes, confusion, Bone Pain, Fractures Hypercalcemia
Lethargy,drowsiness,Decreased Pulse/Bp,Muscle Weakness, Diminished DTR,N/V Hypermagnesium
Confusion,Tremors,Hyperactive DTR, Increased Pulse/BP, Insomnia,Muscle Cramps Hypomagnesium
CNS Depression, Muscle Weakness,Seizure, Osteomalacia Hypophosphatemia
Caused by : Renal Failure, Enemas containing Phosphorus, Chemotherapy Drugs HyperPhosphatemia
Same osmolarity as body fluid(NS 0.9 NaCl & lactated ringers) Isotonic
More Water than electrolytes(0.45% NaCl and D5W) Hypotonic
Initially expands and raises the osmolality in ECF( D5 1/2NS & D10W) Hypertonic
135-145 Sodium
3.5-5 Potassium
9.0-10.5 Calcium
Magnesium 1.3-2.1
Phosphorus 3.0-4.5

Happy Hydration Crossword

Type
Crossword
Description

The feeling of wanting water thirst
Joy happy
A state in which your body needs more fluids dehydration
A food group with a large water content fruit
Taking fluids in by mouth drink
A state in which your body has adequate fluids hydration
Potassium and sodium are examples of electrolytes
Water, tea, and juice are examples of fluids
You should drink 8 glasses of this daily water
Salt sodium
Eating a nutritious diet and drinking plenty of fluids will help you stay healthy

Unit ONE Crossword

Type
Crossword
Description

____ centers in the hypothalamus are stimulated by dry mucous membranes, drop in blood volume and increase in serum osmolallity Thirst
This hormone produced in the hypothalamus is released in responce to low blood volume or increased serum osmolality and stimulates water reabsorption in the kidneys. ADH
A fluid volume deficit that results in decreased body fluid Dehydration
A characteristic of the tongue appearance in a dehydrated adult Longitudinal Furrows
1Kg=1 of these of fluid Liter
The main goal in dehydration is this Fluid replacement
A solution with a solute concentration equal to the osmolarity of normal body fluids Isotonic
This solution is given to most dehydrated patients in the hospital, it is isotonic. Normal Saline
These IV solutions are large molecules that can't leak through capillary membranes. Colloids
Given to patients with debilitating illness lasting longer than 2 weeks, have a loss of 10% or more of preillness wt or nonfunctioning GI tract TPN
Used for short term IV therapy through a vein in the arm or hand Peripheral line
An inflammation of the vein as a complication of IV therapy resulting in a cord-like vein, redness and swelling around the site. Phlebitis
An infiltration of a vesicant drug Extravasation
Too rapid of an infusion of IV fluids or meds can result in this which leads to flushing of the skin, dizziness, irregular pulses and severe headache Speed shock
A high loop diuretic that blocks reabsorption of sodium and chloride preventing passive reabsorption of water Lasix
These diuretics promote urine production by blocking the reabsorption of sodium and chloride in the early seg of the distal convoluted tubule Thiazide
This diuretic uses osmotic force in the nephron that inhibits reabsorption of water, used mostly in Critical Care. Mannitol
This electrolyte imbalance results in an inverted T wave on the EKG, lethargy, confusion, leg cramps, generalized weakness and polyuria. Hypokalemia
This electrolyte imbalance results in abdominal cramping, peaked T wave on EKG, diarrhea, irritability and muscle weakness. Hyperkalemia
This electrolyte imbalance results in skin flushing, agitation, lethargy, tachycardia, thirst, hypertension and orthostatic hypotension Hypernatremia
This electrolyte imbalance results in brittle nails, dry skin and hair, cardiac arrythmias, muscle cramps, tetany or fractures Hypocalcemia
This electrolyte imbalace results in depressed reflexes, weak pulses, bradycardia, warm flushed skin, weakness, drowsiness, hypotension and diaphoresis. Hypermagnesemia
This blood test measures the past three months of blood glucose levels, higher than 6 indicates diabetes. HbgA1C
A condition in Type 1 diabetes that results in a high blood sugar of >250 but less than 800, fruity breath, kussmauls respirations, N/V, keytones in urine, hypokalemia and a ph of <7.38 DKA
_______syndrome is a precursor to DM that is a chronic inflammatory process leading to plaque formation in vessels. Signs include low HDL levels, change in LDL, hypertension, abdominal obesity, insulin resistance. Metabolic
Fasting glucose level is high in the morning as a result of stress hormones Somogyi effect
Morning sugar is elevated as a result of liver converting glycogen to glucose in type 2 diabetes. Dawn Phenomenon
Symptoms include thirst, dry mouth, hunger, fatigue, difficulty concentrating Hyperglycemia

Gastroenteritis Crossword

Type
Crossword
Description

Loose Stool Diarrhea
Fifth Vital Sign Pain
Causation of stomach flu Virus
Stomach Flu Gastroenteritis
What is considered emesis? Vomiting
Treats Infections Antibiotics
Nursing Diagnosis for fluid loss Dehydration
Gastric Area Abdomen
Indication of Infection Fever
Option for Rehydration Pedialyte

Dehydration Word Search

Type
Word Search
Description

air conditioning
Amedisys home health
blood pressure
breathing
chest pain
confusion
diarrhea
dizziness
electrolyte
emergency
exercise
fainting
fever
fluid
heat exposure
infections
lethargy
palpitations
popsicles
prevention
seizures
shade
skin injuries
sluggishness
sweating
temperature
thirst
vomiting
water
weakness

Chapter 19 Fluid, Electrolyte & Water Balance Crossword

Type
Crossword
Description

an accumulation of acids in the blood Acidosis
an increase in the pH of the blood Alkalosis
ion with a negative charge Anion
keeps acids and bases in balance Buffers
ion with a positive charge Cation
a fluid deficiency resulting from loss of water Dehydration
accumulation of interstitial fluid Edema
electrically charged particles Electrolytes
fluid outside of cells Extracellular fluid
increased calcium Hypercalcemia
increased potassium Hyperkalemia
increased sodium Hypernatremia
decreased blood volume Hypovolemia
elasticity of skin Turgor
miscellaneous extracellular fluid the includes CSF, humors of the eye and GI secretions Transcellular fluid

Gastrointestinal Disorders Crossword

Type
Crossword
Description

A ____ test is used in diagnosing Enterobius vermicularis TAPE
______ rehydration is attempted first for mild and moderate dehydration ORAL
A medication indicated for C. difficile and G. lamblia METRONIDAZOLE
A foodborne pathogen that can lead to hemolytic uremic syndrome Ecoli
_________ disease is a structrual anomaly of the GI tract that is caused by lack of ganglionic cells in segments of the colon Hirschsprung
complication of diarrhea dehydration
inflammation of the bowel enterocolitis
rotavirus trasmission route fecaloral
most common cause of diarrhea in children younger than 5 years old rotavirus
eggs from Enterobius vermicularis (pinworm) can survive for 2 to 3 ______ on surfaces weeks
tissue damage resulting from gastroesophageal reflux GERD