How many mL of fluid is equal to 1 kg of weight gain?
1000mL or 1 liter
What is the difference between NPH and Regular insulin?
Long and short acting insulins
What is Melena?
Black, tarry stools
A 75 year old cliet was admitted wtih penumonia and septic shock. What type of AKI is he at risk?
Pre-renal due to shock
What is a Hemaglobin A1C?
3 month average of blood glucose.
What type of condition would the urine be in large quantities and look like water?
DI
What is the priority nurseing acting for HHS?
Rapid Rehydration with IV fluids
A patient with a Peptic Ulcer Disease (PUD) is prescribed Pantoprazole (Protonix). Describe how this medication works?
The medication decreases the amount of acid secreted by the stomach.
Feel the thrill and listen for a bruit
What labs would be abnormal in a liver failure client?
Serum Bilirubin, Serum Ammonia, Serum ALT, AST
What syndrome is Vaptan most given?
SIADH to decrease boldy weight, increase urine output and decrease urine osmolarity.
Which occurs with Type 2 Diabetics, DKA or HHS?
HHS
What is Hematemesis?
Vomitting blood
A client with Cirrhosis is very confused. What could be causing this problem?
Elevated ammonia levels
What coagulation labs would be abnormal in a liver failure patient?
PT, PTT, Platelets,
Monitor and treat hemodynamic instability (Perfusion).
If an order is written for NPH 15 units SC with sliding scale protocol with each meal, at breakfast the Blood sugar is 200. How much total insulin would the patient require?
Sliding scale:
17 total units
What assessment finding would indicate active upper GI bleeding?
Hematemesis, tachycardia and hypotension
Signs and symptoms of liver failure
jaundice, fatigue, fever, or dark urine
What is a type of medication that can be given is a AKI patient's phorphorus level si 5.2 mg/dL.
Phosphorus binding medication called Sevelamer (Renagel)
When would a client be put on CRRT instead of basic Hemodialysis?
When hemodynamically unstable and in ICU.
what type of Diabetes is DKA most associated?
Type 1
What is Grey Turner and Cullens sign associated with?
Pancreatic hemorrhage
What is the RIFLE evaluation method?
Predictor of the risk for Acute Kidney Injury (AKI)
What is the ketones in DKA?
Ketones are a byproduct of fat metabolism seen in DKA.