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Curriculum Objective

Objective
Clerkship Objectives

Fluids and Electrolytes

- Indicates most relevant

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Parent Objective

Primary Presentations

Child Objectives

List the normal range of Na+, K+, HCO3-, Cl- in serum and indicate how these ranges change in perspiration, gastric juice, bile and ileostomy contents.
List least six symptoms or physical findings of dehydration.
List and describe the objective ways of measuring fluid balance.
List the electrolyte composition of the following solutions: normal (0.9%) saline; half normal saline; one third normal saline; 5 percent dextrose in water; Ringer's lactate.
In the following situations, indicate whether serum Na, K, HCO3, Cl and blood pH will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): excessive gastric losses; high volume pancreatic fistula; small intestine fistula; biliary fistula; diarrhea
In the following situations, indicate whether serum and urine Na, K, HCO3, Cl and osmolality will remain stable (0), rise considerably (++), rise moderately (+), fall moderately (-), or fall considerably (--): acute tubular necrosis; dehydration; secretion (SIADH); diabetes insipidus; congestive heart failure
Describe the possible causes, appropriate laboratory studies needed, and treatment of the following conditions: hypernatremia; hyponatremia; hyperkalemia; hypokalemia; hypochloremia
Describe the concept of a “third space” and list those conditions that can cause fluid sequestration of this type.

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