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  #1  
Old Apr 17, 2007, 09:50 PM
Registered User
Join Date: Oct 2006
Exclamation Need help understanding...

Ok, I'm having trouble trying to understand a concept.

ADH, reduces excretion of urine and promotes water reabsorption of kidneys. So in FVD this would be increased because the body is trying to retain water? For some reason I cannot make sense of this! HELP! please!

Also, I'm in 2nd semester in ADN program and I have thought since day one that Hemoglobin is the # of RBC, but now I'm confused because I know it's the oxygen carrying ability of RBC. This is frustrating!


Last edited by mbgirl81 : Apr 17, 2007 at 10:12 PM.
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  #2  
Old Apr 17, 2007, 11:06 PM
Registered User
Join Date: Apr 2006
Re: Need help understanding...

Originally Posted by mbgirl81 View Post
Ok, I'm having trouble trying to understand a concept.

ADH, reduces excretion of urine and promotes water reabsorption of kidneys. So in FVD this would be increased because the body is trying to retain water? For some reason I cannot make sense of this! HELP! please!

Also, I'm in 2nd semester in ADN program and I have thought since day one that Hemoglobin is the # of RBC, but now I'm confused because I know it's the oxygen carrying ability of RBC. This is frustrating!
Okay, I am taking a stab at this (I stand to be corrected, we just went over this in class yesterday ):

In FVD, there is a loss of H2O and electrolytes in the same proportion.

For the ADH to be released from the posterior pituitary gland, the blood concentration would have to have a high serum level of Na+. At that point, the kidneys are signaled to reabsorb H2O. The H2O dilutes the ECF (where the Na+ levels are high > 145 mEq/L) then the ECF is returned to normal NA+ levels 135-145 mEq/L.

I am thinking FVD would be treated with an isotonic solution since the problem is more of a volume problem (hypovolemia) rather than an electrolyte problem (hyper or hyponatremia).

I am so green at this....someone else?

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  #3  
Old Apr 18, 2007, 06:07 PM
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Join Date: Apr 2006
Re: Need help understanding...

I am just bumping this up. Am I understanding this concept correctly?

Originally Posted by DAMomma View Post
Okay, I am taking a stab at this (I stand to be corrected, we just went over this in class yesterday ):

In FVD, there is a loss of H2O and electrolytes in the same proportion.

For the ADH to be released from the posterior pituitary gland, the blood concentration would have to have a high serum level of Na+. At that point, the kidneys are signaled to reabsorb H2O. The H2O dilutes the ECF (where the Na+ levels are high > 145 mEq/L) then the ECF is returned to normal NA+ levels 135-145 mEq/L.

I am thinking FVD would be treated with an isotonic solution since the problem is more of a volume problem (hypovolemia) rather than an electrolyte problem (hyper or hyponatremia).

I am so green at this....someone else?

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  #4  
Old Apr 18, 2007, 07:00 PM
gt4everpn (Female)
Registered User
Join Date: Sep 2006
Re: Need help understanding...

Slow Down, It Gets Confusin, I Know Some Tips

1. Anti- Diuretic- Think Anti- Pee Hormone Or Against Peeing Hormone.

2. Fvd- Lack Of Water Problem

3. Now Put It Together If U Have A Lot Of Anti Or Against Peeing Hormone U Will Not Pee, Therefore U Hold In Water

4.if U Have No Anti Or Against Peeing Hormone Water Will Come Out-(peeing) Which = Fvd

5.hgb Is The Oxygen In Rbc's Your Right- Don't Confuse Yourself, Hematocrit(hct) Is The % Of Rbc's.

It Gets Confusin, We All Been Through It, Take It Slow Good Luck!

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  #5  
Old Apr 18, 2007, 07:28 PM
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Megsd (Female)
Registered User
Join Date: Mar 2004
Re: Need help understanding...

I'm having a brain fart... what's FVD?

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  #6  
Old Apr 18, 2007, 07:51 PM
emtb2rn's Avatar
emtb2rn (Male)
RN, BS, EMT-B
Join Date: Apr 2006
Re: Need help understanding...

Originally Posted by Megsd View Post
I'm having a brain fart... what's FVD?
Fluid Volume Deficit.

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  #7  
Old Apr 18, 2007, 10:53 PM
gt4everpn (Female)
Registered User
Join Date: Sep 2006
Re: Need help understanding...

Fvd= Fluid Volume Defecit- Low Amounts Of Fluids In The Body, Bloodstream.

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  #8  
Old Apr 19, 2007, 12:59 AM
Registered User
Join Date: Dec 2006
Re: Need help understanding...

I'll try my best to make it the easiest to understand!

-When fluid intake is low or the concentration of solutes in the blood is high, ADH is released from the pituitary, more water is reabsorbed, and less urine is excreted.
*Just think: The water is reabsorbed to equal out the concentrations in the blood. Therefore, this water won't be included in the urine output. So yes, in Fluid Volume Defecit, ADH will be stimulated and would cause the reabsorption of water, which in turn increases the volume of fluid in the body.

Hemoglobin- the red pigment in red blood cells that carries oxygen
Hematocrit- the proportion of RBC to the total blood volume
(the amount of red blood "cells" in relation to the plasma it's carried in)

Hope that helps!!

If anyone sees an error, PLEASE correct me!

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  #9  
Old Apr 20, 2007, 09:25 PM
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Join Date: Apr 2007
Re: Need help understanding...

Don't forget the importance of renin-angiotensin-and aldosterone in relation to fluid volume as well as other problems.
jules

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