What are the signs of blood transfusion reaction?
back pain, fever, trouble breathing
What is a common GI complication of burns
Paralytic ileus
What constitutes an acidodic and an alkalotic state?
acidosis- ABG less than <7.35
Alkalosis- ABG less than >7.45
Why would kidney failure lead to anemia
because erythropoietin is produced in the kidneys
What is DIC
Disseminated intravascular coagulation; must watch the patient for echymoses and massive bleeding
What is it called when fluid from an IV leaks into the surrounding tissue
infiltration
What are the signs of compartment syndrome?
Paresthesia, Paralysis, Pain, Pallor, Pulselessness
A patient is hyperventilating, what kind of acid-base imbalance can this cause
Respiratory Alkalosis
How many days does a red blood cell live?
120
What are s/s of unmanaged sickle cell disease
Pain, low blood counts, jaundice
name two isotonic solutions
normal saline and lactated ringers
What is an electrolyte imbalance caused by burns
hyperkalemia
What is compensatory breathing for metabolic acidosis
Kussmaul respirations
What is the most numerous type of blood cell in the body?
erythrocytes
Below what value constitutes thrombocytopenia? What will you watch for in thrombocytopenia?
below 150,000; bleeding
Name a hypotonic solution
0.45% NS
In what time ranges do you administer fluid resuscitation to a burn victim
First half of fluid given over the first 8 hours, second half given over the next 16 hours
Interpret this ABG:
pH- 7.50; CO2- 50; HCO3- 30
Metabolic Alkalosis
What type of blood cell is correlated with allergic reactions?
eosinophils
What is a care to take when transferring a patient with multiple myeloma?
you must take care to avoid pathological fractures
Name a hypertonic solution
D5NS; 3%NS
What is the rule of nines?
Head and Neck: 9% total (4.5% front, 4.5% back)
Interpret this ABG:
pH- 7.43; CO2- 30; HCO3- 19
Fully Compensated Respiratory Alkalosis
What are B-cells and t-cells considered?
Lymphocytes
What are interventions for a patient with polycythemia vera
therapeutic phlebotomy, aspirin, encourage fluids