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% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
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% Document Info
\author{felixcharlie (felixcharlie)}
\pdfinfo{
  /Title (manifestations-of-altered-f-e-balance.pdf)
  /Creator (Cheatography)
  /Author (felixcharlie (felixcharlie))
  /Subject (Manifestations of Altered F\&E balance Cheat Sheet)
}

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% Header and Footer
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\fancyhead[L]{
\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 Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{felixcharlie (felixcharlie)} via \textcolor{DarkBackground}{\uline{cheatography.com/142439/cs/31033/}}}
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\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \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 5th March, 2022.\\
   Updated 5th March, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
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  \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}
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% 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 an Oedema?}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{A shift of plasma to interstitial fluid} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{An oedema is an accumulation of fluid in the interstitial space} \tn 
% Row Count 3 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Occurs if venous hydrostatic pressure rises, plasma oncotic pressure decreases or interstitial oncotic pressure rises} \tn 
% Row Count 6 (+ 3)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{May also develop if an obstruction of lymphatic outflow causes decreased removal of interstitial fluid} \tn 
% Row Count 9 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Lymphedema}}  \tn
\SetRowColor{LightBackground}
\mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/felixcharlie_1646456916_588px-Lower_Limb_Lymphedema.png}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Oedema caused by heart failure}}  \tn
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\mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/felixcharlie_1646457103_310px-Combinpedal.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Oedema causes}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Extracellular fluid volume excess caused by addition or retention of saline (saline overload)} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Leaky cap bed} \tn 
% Row Count 3 (+ 1)
% Row 2
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\mymulticolumn{1}{x{8.4cm}}{Obstruction to lymph flow} \tn 
% Row Count 4 (+ 1)
% Row 3
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\mymulticolumn{1}{x{8.4cm}}{Plasma oncotic pressure decreases} \tn 
% Row Count 5 (+ 1)
% Row 4
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\mymulticolumn{1}{x{8.4cm}}{Interstitial oncotic pressure rises} \tn 
% Row Count 6 (+ 1)
% Row 5
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\mymulticolumn{1}{x{8.4cm}}{Increase in intravascular hydrostatic pressure/if venous hydrostatic pressure} \tn 
% Row Count 8 (+ 2)
% Row 6
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\mymulticolumn{1}{x{8.4cm}}{Associated with cardiac, hepatic, or renal failure \& venous insufficiency} \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{3.52 cm} x{4.48 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Assessing oedema}}  \tn
% Row 0
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\mymulticolumn{2}{x{8.4cm}}{\{\{ac\}\}{\bf{Where is the oedema? Localised or Generalised?}} \{\{colspan=2\}\}} \tn 
% Row Count 2 (+ 2)
% Row 1
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{\emph{Localised}} \{\{rowspan=2\}\} \{\{ac\}\} & Related to trauma or inflammation. \tn 
% Row Count 4 (+ 2)
% Row 2
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 & Other examples of localised oedema: Cerebral, pulmonary, pleural effusion, pericardial effusion, and ascites \tn 
% Row Count 9 (+ 5)
% Row 3
\SetRowColor{white}
{\emph{Generalised}} & More uniform distrubution of fluid in interstitial spaces \tn 
% Row Count 12 (+ 3)
% Row 4
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\mymulticolumn{2}{x{8.4cm}}{{\bf{How long has the patient had oedema?}} \{\{colspan=2\}\} \{\{ac\}\}} \tn 
% Row Count 14 (+ 2)
% Row 5
\SetRowColor{white}
{\emph{Chronic oedema}} & Longer than 3 months \tn 
% Row Count 15 (+ 1)
% Row 6
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\mymulticolumn{2}{x{8.4cm}}{{\bf{What could be the cause?}} \{\{colspan=2\}\}} \tn 
% Row Count 16 (+ 1)
% Row 7
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\mymulticolumn{2}{x{8.4cm}}{{\bf{How does this affect the patient?}} \{\{colspan=2\}\}} \tn 
% Row Count 18 (+ 2)
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\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Fluid shifts in heart failure}}  \tn
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
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\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Venous obstruction}}  \tn
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\mymulticolumn{1}{p{8.4cm}}{\vspace{1px}\centerline{\includegraphics[width=5.1cm]{/web/www.cheatography.com/public/uploads/felixcharlie_1646457024_Picture4.jpg}}} \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}-}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{x{2.32 cm} x{5.68 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Fluid spacing}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\emph{First spacing}} & All fluids in the body are where they should be. There is normal distribution of fluid in the ICF and ECF \tn 
% Row Count 4 (+ 4)
% Row 1
\SetRowColor{white}
{\emph{Second spacing}} & Abnormal accumulation of fluid in interstitial spaces, such as oedema. This abnormal accumulation can still be easily moved back to ICF/ECF, where it should be \tn 
% Row Count 10 (+ 6)
% Row 2
\SetRowColor{LightBackground}
{\emph{Third spacing}} & Abnormal accumulation of fluid trapped in spaces where it is difficult or impossible to return to where it should be, such as ascites or burn related injuries. This requires medical intervention to reverse. \tn 
% Row Count 18 (+ 8)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
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\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{p{0.8 cm} x{7.2 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{8.4cm}}{\bf\textcolor{white}{Measuring oedema}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{8.4cm}}{Dependent oedema: Pitting and non-pitting \{\{colspan=2\}\}} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{2}{x{8.4cm}}{{\bf{Grading oedema}} \{\{colspan=2\}\} \{\{ac\}\}} \tn 
% Row Count 3 (+ 1)
% Row 2
\SetRowColor{LightBackground}
1+ & Slight pitting/2mm, disappears rapidly \tn 
% Row Count 5 (+ 2)
% Row 3
\SetRowColor{white}
2+ & Deeper pit/4mm, disappears in 10-15s \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
3+ & Deep pit/6mm, may last \textgreater{}1m, extremity swollen \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
4+ & Very deep pit/8mm. lasts 2-5m, extremely grossly distorted \tn 
% Row Count 10 (+ 2)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Nursing interventions}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Ensure underlying cause is being managed appropriately, attempting to reverse} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Position patient to reduce positional fluid collection} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Recording measurements of pitting oedema} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Daily weigh} \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Administering diuretics if prescribed} \tn 
% Row Count 7 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Protecting affected tissue from further injury} \tn 
% Row Count 8 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{{\emph{What is the pathophysiological rationale?}}} \tn 
% Row Count 9 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{8.4cm}{X}
\SetRowColor{DarkBackground}
\mymulticolumn{1}{x{8.4cm}}{\bf\textcolor{white}{Effects of oedema: determined by location}}  \tn
% Row 0
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Fluid leaves bloodstream and accumulates in interstitial spaces} \tn 
% Row Count 2 (+ 2)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Circulating blood volume and blood pressure decline} \tn 
% Row Count 4 (+ 2)
% Row 2
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Tissue more susceptible to injury} \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
\mymulticolumn{1}{x{8.4cm}}{Poor supply of nutrients and oxygen to support healthy tissue} \tn 
% Row Count 7 (+ 2)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{1}{x{8.4cm}}{Up to 50\% of patients suffering from oedema experience leg ulceration, with 31\% of these people having the ulcer for more than 5 years} \tn 
% Row Count 10 (+ 3)
\hhline{>{\arrayrulecolor{DarkBackground}}-}
\end{tabularx}
\par\addvspace{1.3em}


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

\end{document}