Case Study 10: Hypovolemic Shock; The wife of C.W., a 70-year-old man, brought him to the emergency department (ED) at 0430. (answered)

1. A hormone that secreted by the adrenal cortex? ● CORTISONE 2. The initiator of the inflammatory response is the presence of histamine? ● BASOPHIL 3. Know vector? ● AN ORGANISM TYPICALLY A BITING INSECT OR TICK, THAT TRANSMIT A DISEASE OR PARASITE FOR 1 ANIMAL OR PLANT TO ANOTHER 4. Drug examples that although reduce inflammation, also hinder the body’s immune response? ● NSAID 5. Due to diarrhea, pt develops C-diff, what causes this problem? ● BROAD SPECTRUM ANTIMICROBIALS [ANTIBIOTICS] 6. The first thing that a nurse must do when pt undergoes anaphylactic shock? ● GIVE OXYGEN AND IV EPINEPHRINE ● PROMOTE RECOGNITION IS VITAL 7. While monitoring client for dehydration following episodes of vomiting and elevated temp, which finding should the nurse identify as an indication of dehydration? ● MONITOR BLOOD GLUCOSE 8. Lab values that must take priority while caring for a young child with dehydration. Remember what could kill is the most priority? ● INCREASED HEMATOCRIT LEVELS ● SERUM ELECTROLYTES 9. Must report to the nurse while assessing pt for dehydration and as an indication of dehydration? ● DARK CONCENTRATED URINE ● CONFUSION ● DECREASED BP ● INCREASED HEART RATE CASE STUDY 10 : HYPOVOLEMIC SHOCK 10. Know lab level for respiratory acidosis? ● 7.35-7.45 11. Know filtration? ● THE TRANSFER OF WATER AND SOLUTE THROUGH A MEMBRANE FROM AN AREA OF HIGH PRESSURE TO AN AREA OF LOW PRESSURE. ● A NECESSARY PROCESS FOR MOVING FLUID OUT OF THE CAPILLARIES INTO THE TISSUES AND FOR FILTERING PLASMA THROUGH THE KIDNEYS. 12. The patient is frequently thirst, to what should the nurse attribute this symptom? ● INCREASED PLASMA OSMOLALITY STIMULATES OSMORECEPTORS IN THE HYPOTHALAMUS TO TRIGGER THE SENSATION OF THIRST ● [MORE SODIUM AND LESS WATER] 13. A fluid imbalance is mainly monitored in the body by which two systems? ● CARDIOVASCULAR AND KIDNEY 14. Know osmosis? ● IS THE MOVEMENT OF WATER ACROSS A MEMBRANE FROM LESS CONCENTRATED SOLUTION TO A MORE CONCENTRATED SOLUTION. 15. Most abundant intracellular positively charged electrolyte? ● POTASSIUM 16. Renal damage due to DM, what is the highest risk for this pt? ● HYPERTONIC EXTRACELLULAR FLUID DEFICIT [DEHYDRATION] 17. Know the effect of aldosterone? ● INCREASE THE REABSORPTION OF SODIUM AND DECREASE REABSORPTION OF POTASSIUM 18. Patient IV injection was infused at a high rate, what assessment indicates fluid volume overload? ● PULMONARY EDEMA [INFLAMMATION OF VEINS] 19. SATA- pt decreased oral intake for 2 days, what would be the S/S of dehydration ● DRY MOUTH ● SALIVA IS POOLED IN THE AREA WHERE THE CHEEK AND GUM MEET 20. SATA- clinical manifestations of low calcium ● NEUROMUSCULAR IRRITABILITY MANIFESTED BY TINGLING SENSATION IN THE FACE AND HANDS, MUSCLE TWITCHES, AND PROGRESSIVELY SEVERE MUSCLE CRAMPS. 21. The greatest impact on water retention? ● SERUM SODIUM LEVELS 22. The hormone that increases blood pressure? ● ALDOSTERONE 23. Know positive Trousseau's sign? ● CARPOPEDAL SPASM THAT RESULTS FROM ISCHEMIA, INDUCED BY PRESSURE APPLIED TO THE UPPER ARM FROM AN INFLATED SPHYGMOMANOMETER CUFF. 24. Pt being discharged home, the best statement by the pt to prevent mild dehydration from becoming severe? ● KEEP RECORD OF INPUT AND OUTPUT 25. Pain from right arm triggers right shoulder, how would the nurse document this