Fluid electrolyte ABG
Role of albumin in Fluid balance
Oncotic pressure. In low albumin states caused by medication toxicity, kidney disease or malnutrition we have acites or edema.
Clinical manifestations of Asthma
Sudden onset of Wheezing, bronchospasms, dyspnea, mucous productive cough.
What part of the RAAS system does an ace inhibitor block?
Blocks Angiotensin 1- from becoming angiotensin 2 and vasodilation.
Vitamin K
Inflammatory mediator from mast cells that causes vasodilation and swelling?
Histamine
Purpose of isotonic IVF.
Increase volume, replace loss, maintatin BP.
Triggers of asthma
Allergic response, igE, odors, animal dander
Why is a beta blocker ordered for a patient after MI?
Heparin drip is subtheraputic, what do you do?
Increase the drip.
White blood cells are called?
Leukocytes, leukocytosis, leukopenia
HCO3: 19
What imbalance?
Metabolic acidosis
Less systemic side effects. Watch for oral thrush, clean mouth after inhaled.
Purpose of diuretics in CHF?
Reduce fluid volume, edema, sob, fluid in lungs and peripheral
What is included in bleeding precautions?
Anticoag education, antiplatelet education, Lab values to monitor, saftey with razors, fall risk, surgeries, avoid invasive procedures.
Why do we have peak and trough values on some drugs, ie antibiotics?
To monitor a narrow therapeutic window, assess for toxicity.
Client on a PCA pump is lethargic and ABG comes back respiratory acidosis. What's nursing priority?
Treating the cause.
What is patho of COPD-Emphasema?
CO2 trapping or Expiratory disfunction
What happens if HTN is not well controlled?
Vessel disease, can lead to kidney failure hemodialysis, MI, CVA, TIA, visual issues
Name the drug that is the "clot buster" or dissolves existing thrombus?
What type of anemia would you see pancytopenia?
Aplastic anemia, low everything
What happens to the potassium in DKA/Metabolic acidosis?
Thickened bronchial walls, with excessive mucus production is what type of COPD?
Chronic Bronchitits
What lab value, when normal may rule out MI and make you switch from Cardiac to GI assessment when client has chest pain?
Contraindications for Anticoagulants/antiplatelets.
Taking more than one at same time, recent surgery, NSAIDS, bleeding disorder.
Side effects for NTG ?