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%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
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\usepackage{MnSymbol}           % Symbols
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% Document Info
\author{felixcharlie (felixcharlie)}
\pdfinfo{
  /Title (manifestations-of-altered-f-e-balance-part-2.pdf)
  /Creator (Cheatography)
  /Author (felixcharlie (felixcharlie))
  /Subject (Manifestations of Altered F\&E balance Part 2 Cheat Sheet)
}

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% Header and Footer
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\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
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    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
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\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Manifestations of Altered F\&E balance Part 2 Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{felixcharlie (felixcharlie)} via \textcolor{DarkBackground}{\uline{cheatography.com/142439/cs/31035/}}}
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\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}felixcharlie (felixcharlie) \\
  \uline{cheatography.com/felixcharlie} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 7th March, 2022.\\
   Updated 16th March, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
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\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

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% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
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\begin{multicols*}{2}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{What is Dehydration?}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{The other end of the spectrum from oedema} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Occurs when water loss exceeds water intake over a period of time and the body is in a negative balance} \tn 
% Row Count 4 (+ 3)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Caused by decrease of ECF volume - loss of Na+ containing fluid from the body} \tn 
% Row Count 6 (+ 2)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Causes include: vomiting, diarrhea, haemorrhage, burns, profuse sweating, water deprivation, and diuretic abuse} \tn 
% Row Count 9 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Hemorrhagic shock classification}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{} \tn 
% Row Count 0 (+ 0)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{\{\{border=1\}\} {\bf{\% Blood loss}}} \tn 
% Row Count 1 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{border=1\}\}{\bf{HR}}} \tn 
% Row Count 2 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{\{\{border=1\}\}{\bf{BP}}} \tn 
% Row Count 3 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{\{\{border=1\}\}{\bf{RR}}} \tn 
% Row Count 4 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{\{\{border=1\}\}{\bf{Urine output}}} \tn 
% Row Count 5 (+ 1)
% Row 6
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\mymulticolumn{1}{x{8.4cm}}{\{\{border=1\}\}{\bf{Mental status}}} \tn 
% Row Count 6 (+ 1)
% Row 7
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\mymulticolumn{1}{x{8.4cm}}{\{\{border=1\}\}{\bf{Fluid replacement}}} \tn 
% Row Count 7 (+ 1)
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Fluid balance}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Obligatory fluid loss}}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Urine (obligatory), Feces, Cutaneous transpiration, Sweat, Expired air} \tn 
% Row Count 3 (+ 2)
% Row 2
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\mymulticolumn{1}{x{8.4cm}}{Totals to 1500mL} \tn 
% Row Count 4 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Required for normal function and health} \tn 
% Row Count 5 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Facilitative fluid loss}}} \tn 
% Row Count 6 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Urine (facilitative)} \tn 
% Row Count 7 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Totals 1000mL} \tn 
% Row Count 8 (+ 1)
% Row 7
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{The ability to adapt to various situations/conditions} \tn 
% Row Count 10 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\emph{A patient should be urinating every 6 hours}}} \tn 
% Row Count 11 (+ 1)
% Row 9
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{{\emph{Absolute minimum urine output is 30cc/hour}}} \tn 
% Row Count 12 (+ 1)
% Row 10
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\bf{Fluid intake}}} \tn 
% Row Count 13 (+ 1)
% Row 11
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\mymulticolumn{1}{x{8.4cm}}{Performed water (food \& drink)} \tn 
% Row Count 14 (+ 1)
% Row 12
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\mymulticolumn{1}{x{8.4cm}}{Totals 2300mL} \tn 
% Row Count 15 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{4 cm} x{4 cm} }
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\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Pathophysiological rationale for shock}}  \tn
% Row 0
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{\bf{Vital signs}} \{\{border=1\}\} & {\bf{Pathophysiological rationale}} \{\{border=1\}\} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\{\{border=1\}\} Increased HR & \{\{border=1\}\} SNS increases HR to maintain CO despite decrease in SV to support perfusion of O2 to major organs and tissues \tn 
% Row Count 10 (+ 7)
% Row 2
\SetRowColor{LightBackground}
\{\{border=1\}\} Decreased BP & \{\{border=1\}\} Decrease in circulating volume leads to decreased venous return to the heart, decreased preload, decreased SV and decreased CO and compensation for vasoconstriction no longer effective \tn 
% Row Count 20 (+ 10)
% Row 3
\SetRowColor{white}
\{\{border=1\}\} Skin is pale, cool and clammy & \{\{border=1\}\} Body is attempting to maintain critical systems, so tissue perfusion to the skin is reduced \tn 
% Row Count 26 (+ 6)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.64 cm} x{5.36 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Hypovolemic shock}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Occurs when there is inadequate intravascular fluid volume which leads to inadequate tissue perfusion \{\{colspan=2\}\}} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
{\bf{Manifestations:}} & Decreased blood pressure \tn 
% Row Count 5 (+ 2)
% Row 2
\SetRowColor{LightBackground}
 & Increased heart rate, respiratory rate \tn 
% Row Count 7 (+ 2)
% Row 3
\SetRowColor{white}
 & Pollor, cool, and clammy skin \tn 
% Row Count 9 (+ 2)
% Row 4
\SetRowColor{LightBackground}
 & Decreased urine output \tn 
% Row Count 10 (+ 1)
% Row 5
\SetRowColor{white}
 & Anxiety, confusion, Agitation \tn 
% Row Count 12 (+ 2)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{\{\{colspan=2\}\} Average adult blood volume for a female is 4-5L of blood and 5-6L for a male} \tn 
% Row Count 14 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{Approximately 8\% of your body weight is blood \{\{colspan=2\}\}} \tn 
% Row Count 16 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Average blood volume in a 70kg person is 5.5L, so mild loss = 825mL, Class II loss is 825mL-1.65L, and class III is 1.65-2.2L} \tn 
% Row Count 19 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{5.68 cm} x{2.32 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{IV fluids}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Crystalloids \{\{colspan=2\}\}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{Equal to body fluid \{\{colspan=2\}\}} \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Keeps fluid in the intravascular volume without causing a fluid shift from one compartment to the other \{\{colspan=2\}\}} \tn 
% Row Count 5 (+ 3)
% Row 3
\SetRowColor{white}
{\emph{Usually used for replacement or maintenance fluids:}} & \seqsplit{Plasma-lyte} \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
 & Normal saline \tn 
% Row Count 9 (+ 2)
% Row 5
\SetRowColor{white}
 & D5W \tn 
% Row Count 10 (+ 1)
% Row 6
\SetRowColor{LightBackground}
 & Lactated ringers \tn 
% Row Count 12 (+ 2)
% Row 7
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{An isotonic solution, in a nutshell, is a balanced water-solute concentration \{\{colspan=2\}\}} \tn 
% Row Count 14 (+ 2)
% Row 8
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{When a solution is isotonic, it is at equilibrium \{\{colspan=2\}\}} \tn 
% Row Count 16 (+ 2)
% Row 9
\SetRowColor{white}
{\emph{Plasma expanders (Colloids):}} & Albumin \tn 
% Row Count 18 (+ 2)
% Row 10
\SetRowColor{LightBackground}
 & Gelofusine \tn 
% Row Count 19 (+ 1)
% Row 11
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{Colloids are gelatinous solutions that maintain a high osmotic pressure in blood \{\{colspan=2\}\}} \tn 
% Row Count 21 (+ 2)
% Row 12
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{\{\{colspan=2\}\} Particles in the colloids are too large to pass semi-permeable membranes such as capillary membranes, so colloids stay in the intravascular spaces longer than crystalloids} \tn 
% Row Count 25 (+ 4)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}