Acid-base Balance
pH 7.49, pCO2 41 mm HG, HCO3- 38 mmol/L. Is the patient compensating? Metabolic alkalosis or acidosis?
Uncompensated metabolic alkalosis because an increase in pH, & an increase in HCO3, & PCO2 is normal
Paresthesias (numbness & tingling) are a symptom of this vitamin deficient anemia.
B12 (Pernicious Anemia)
This activity, sometimes induced by suctioning, can increase ICP.
Coughing
After the nurse completes the head-to-toe exam in the trauma nursing process, what step is next?
Inspect posterior surfaces.
Name a nephrotoxic agents.
Aminoglycosides
Contrast agents
Ethylene glycol
N S A I D s
A patient is experiencing respiratory alkalosis. What is the most classic sign and symptom of this condition?
1. Bradypnea 2. Tachypnea
3. Bradycardia 4. Tachycardia
Tachypnea
An eating disorder, that is a symptom of anemia, that causes cravings of substances other than food.
Pica
During this phase of seizure common signs/symptoms would be: altered consciousness, confusion, fatigue, exhaustion, headache, weakness, sore muscles, amnesia about seizure activity
PostIctal
This often associated with severe rib fractures or misplaced chest tubes...feels like rice crispies under the skin.
Sub-q emphysema
A dose of Vancomycin was inadvertently bolused into the patient earlier in the day. Now the urine output is slowing down and the BUN & Creatinine are rising. Your patient has most likely developed this type of injury.
Intrinsic/renal failure
In Respiratory Acidosis Ph is__ (high or low) PaCO2 is ___ (high or low) HCO3 is ___ (high or low)
Generally, in Respiratory Acidosis Ph is low PaCO2 is high HCO3 is high
A general term to describe a group of malignant disorders affecting the blood and blood-forming tissues of bone marrow, lymph system, and spleen.
Leukemia
Status epilepticus is defined as a seizure lasting?
More than 5 minutes.
A burn patient can experience intravascular hypovolemia which can lead to decreased tissue perfusion. What is the name for this fluid shift?
Third Spacing
What are two things the nurse will want to monitor on a hypothermic patient as they are rewarming them? Why?
cardiac monitor and core temp monitor
If the patient is warmed too quickly it can cause dysrhythmias
The nurse is caring for a client with a nasogastric tube that is attached to low suction. The nurse monitors the client, knowing that the client is at risk for which acid-base disorder?
Metabolic alkalosis is defined as a deficit or loss of hydrogen ions or acids or an excess of base (bicarbonate). Loss of gastric fluid via nasogastric suction or vomiting causes metabolic alkalosis as a result of the loss of hydrochloric acid.
Name a clinical manifestation (sign/symptom) of breast cancer.
Asymptomatic, Nontender breast lump, Nipple changes, Discharge, Nipple Retraction, Skin dimpling
Headache, vomiting (not preceded by nausea), papilledema, and periorbital bruising.
What are signs of IICP?
What is a 3-sided occlusive dressing used to treat?
Open pnuemothorax.
What is known as the transfer of heat from direct contact of one surface to another?
Conduction
A client who is found unresponsive has arterial blood gases drawn and the results indicate the following: pH is 7.12, Pco 2 is 90 mm Hg, and is HCO3- 22 mEq/L. The nurse interprets the results as indicating which condition? 1. Uncompensasted metabolic acidosis 2. Compensasted respiratory acidosis 3. Compensated metabolic acidosis 4. Uncompensated respiratory acidosis
Uncompensated rspiratory acidosis without compensation. The pH is decreased and the Pco 2 is elevated. The bicarbonate (HCO3-) is within normal limits, meaning the kidneys have not had time to adjust for this acid-base disturbance.
A patient with a hx. of lung cancer is being seen for a follow-up visit in the clinic. He reports he is concerned because he has been having falls and his wife states, "I think he had a seizure yesterday." Based on his history, what is a suspected cause?
Brain metastasis
Widening pulse pressure, bradycardia, and irregularity in respiratory pattern are a cluster of signs associated with increased intracranial pressure and risk for brain herniation. These signs are collectively identified as?
Cushing Triad
A forensic nursing role where the nurse provides comprehensive health care to survivors of sexual assault.
Sexual Assault Nurse Examiner (SANE)
Name signs and symptoms of hyperthermia?.
flu like symptoms - headache, weakness, nausea/vomiting; may or may not have fever
flushed, warm or hot to touch
diaphoretic
dry skin and mucous membranes
decreased urine output
seizures