hypotonic losing more sodium than water
vein distention, SOB, fluid going to lungs, edema (anasar-
Fluid Volume Excess (FVE) characteristics
ca)
remove excess potassium form blood into cell - needs
hyperkalemia treatment insulin
Or give kayexalate/policitrine sulfate for hyperkalemia
Hypernatremia + gastric issues stop taking alka seltzer- has high sodium levels
desired outcome for FVE clear lungs
FVD in Adolescents/ young people/ high schoolers doing
take water and commercial sports drinks
sports, activities, long hike
cardiac monitoring
highest priority for someone with hypokalemia
to know when dysrhythmias occur
magnesium sulfate antidote calcium gluconate - monitor patient
losing electrolytes - tell them to keep taking vitamins take
pregnant - nausea and vomiting ettects and care high protein snacks hydrate by taking small amounts of
fluids throughout the day
IV fluids to give for dehydration 0.45% NaCl (hypotonic)
isotonic solution is the only solution you can transfuse
IV fluids to give with transfusion with
(i.e. 0.9% NaCl)
what do you do when a blood transfusion reaction occurs STOP transfusion
When there is redness, swelling, discharge around IV site discontinue and apply warm compress to allow blood flow
... to come
polyphagia, polydipsia, polyuria, weight loss, tiredness
diabetes symptoms
(might only be two or three of these with other symptoms)
what foods to decrease to help type 2 diabetes meat and processed foods
, NSG 170 Final Review Questions with Answers Graded A+
When do you administer combination of regular and NPH 30 min before meal
insulin follow directions of short acting insulin of combination
Absorption rate high in abdomen - most favorable for
location on body most favorable for insulin
insulin- rotate within abdominal area
kussmal respirations, lethargic, ketones, type 1 diabetes ,
DKA characteristics
abdominal discomfort - 325 glucose levels
high blood sugar 700/800, increased urine output, lethar-
HHS characteristics
gy
Type 2 diabetes cause excess body weight impairs release of insulin
epinephrine - bronkaid - increases blood glucose -beta
medications that cannot be used with diabetes blockers (inderol, propranolol) can cause bronchospasms
- use calcium channel blockers instead
sick day rule for diabetes monitor every 4 hours - 6-10L of fluid every hour
ACE inhibitor
Lisinopril antihypertensive
side ettects: cough, loss of taste
nervousness, tremors
Beta Adrenergics main side ettect
common at first but decrease with time
medications not recommended for diabetic patients Beta blocker - proponalol/inderol
magnesium sulfate - not a antihypertensive - anticonvul-
sant - relaxes muscle - lowers BP but not primary action -
treatment for severe preeclampsia
will be given magnesium sulfate and another antihyper-
tensive
determinate of gestational hypertension measured twice 6 hr apart at 140/90
PVD care management increase venous return - elevate extremities
hypertension stress reduction activity yoga classes
hypernatremia increases...
, NSG 170 Final Review Questions with Answers Graded A+
preload
and hypertension occurs
structural changes in blood vessels - arteriosclerosis , de-
age and hypertension characteristics crease elasticity, increase arterial resistance in left ventricle
- increases risk of hypertension
consult in primary care provider first
COPD patient wants to take over the counter meds, nurse's
COPD patients on several medications - many drug inter-
response is
actions
given for relief of bronchospasms - don't change disease
bronchodialators process or outcomes - can cause nervousness and tremors
, common at first but decreases over time
asthma - restnessness, tremor - restlessness complaints -
peofillin , xanthines assess patient - ABC, assess hypoxia, pulse oximetry, goes
with low oxygen
oxygen at a precise rate , not too much not too low, too
high it will diminish drive to breath - use delivery system to
Oxygen delivery system for COPD
give precise amount - nasal cannula, venturi mask - avoid
face mask
low pitched continuous through inspiration - indicates
rhonchi
large blocked airway passages
Child - asthma - wheezing diminishing - shallow respira-
respiratory failure
tions =
Copd - want them to breath ettectively - if not - tell them to use pursed lip breathing
with ettective nursing interventions, a patient with hy-
increased HR
pothermia will have..
body's ability to respond to changes in temp decreases -
older adults and fever symptoms
sometimes does not show fever for infection - not a valid