Complete Hurst Packet
NURSING 101Complete Hurst Packet
TABLE OF CONTENTS
Fluids and Electrolytes ....................................................................................... 3
Acid-Base Balance .............................................................................................13
Burns… ............................................................................................................ 16
Oncology… ....................................................................................................... 22
Endocrine .......................................................................................................... 38
Cardiac .............................................................................................................. 52
Psychiatric Nursing… ...................................................................................... 71
Gastrointestinal ................................................................................................ 92
Neuro… ............................................................................................................ 104
Maternity Nursing… ........................................................................................ 114
Respiratory… ................................................................................................... 139
Orthopedics… .................................................................................................. 144
Renal................................................................................................................. 150
Questions .......................................................................................................... 158
Final Thoughts.................................................................................................. 178
Evaluations ....................................................................................................... 186
Table of Contents for CD.................................................................................. 188
Pediatric….........................................................................................................189
Hurst Review Services 1
,Complete Hurst Packet
Hurst Review Services 2
,Complete Hurst Packet
FLUID VOLUME EXCESS: HYPERVOLEMIA
Define: too much volume in the
l. Causes:
a. CHF: heart is , CO , decreased perfusion, UO
*the volume stays in the
b. RF: Kidneys aren't
c. Alkaseltzer
Fleets enemas All 3 have a lot of
IVF with Na
d. Aldosterone (steroid, mineralocorticoid)
Where does aldosterone live?
-Normal action: when blood volume gets low (vomiting, blood loss, etc.) →aldosterone
secretion increases→ retain Na/water→ blood volume
** Diseases with too much aldosterone:
-also seen with liver disease and heart disease
1.
2.
**Disease with too little aldosterone:
1.
Hurst Review Services 3
, Complete Hurst Packet
e. ADH (anti-diuretic hormone)
Normally makes you retain or diurese?
Retain?
2 ADH problems
Too Much Not enough
Retain Lose (diuese)
Fluid Volume Fluid Volume
SIADH DI
Syndrome of Inappropriate ADH Secretion Diabetes Insipidus
Urine Urine
Blood Blood
*Concentrated makes #’s go up specific gravity, Na
*Dilute makes #’s go down
ADH lives in pituitary; key words to make you think potential ADH problem: craniotomy, head
injury, sinus surgery, transphenoidal hypophysectomy
*Another name for anti-diuretic hormone (ADH) is Vasopressin. The drug Vasopressin (Pitressin
or DDAVP (Desmopressin acetate) may be utilized as an ADH replacement in Diabetes Insipidus.
Hurst Review Services 4
NURSING 101Complete Hurst Packet
TABLE OF CONTENTS
Fluids and Electrolytes ....................................................................................... 3
Acid-Base Balance .............................................................................................13
Burns… ............................................................................................................ 16
Oncology… ....................................................................................................... 22
Endocrine .......................................................................................................... 38
Cardiac .............................................................................................................. 52
Psychiatric Nursing… ...................................................................................... 71
Gastrointestinal ................................................................................................ 92
Neuro… ............................................................................................................ 104
Maternity Nursing… ........................................................................................ 114
Respiratory… ................................................................................................... 139
Orthopedics… .................................................................................................. 144
Renal................................................................................................................. 150
Questions .......................................................................................................... 158
Final Thoughts.................................................................................................. 178
Evaluations ....................................................................................................... 186
Table of Contents for CD.................................................................................. 188
Pediatric….........................................................................................................189
Hurst Review Services 1
,Complete Hurst Packet
Hurst Review Services 2
,Complete Hurst Packet
FLUID VOLUME EXCESS: HYPERVOLEMIA
Define: too much volume in the
l. Causes:
a. CHF: heart is , CO , decreased perfusion, UO
*the volume stays in the
b. RF: Kidneys aren't
c. Alkaseltzer
Fleets enemas All 3 have a lot of
IVF with Na
d. Aldosterone (steroid, mineralocorticoid)
Where does aldosterone live?
-Normal action: when blood volume gets low (vomiting, blood loss, etc.) →aldosterone
secretion increases→ retain Na/water→ blood volume
** Diseases with too much aldosterone:
-also seen with liver disease and heart disease
1.
2.
**Disease with too little aldosterone:
1.
Hurst Review Services 3
, Complete Hurst Packet
e. ADH (anti-diuretic hormone)
Normally makes you retain or diurese?
Retain?
2 ADH problems
Too Much Not enough
Retain Lose (diuese)
Fluid Volume Fluid Volume
SIADH DI
Syndrome of Inappropriate ADH Secretion Diabetes Insipidus
Urine Urine
Blood Blood
*Concentrated makes #’s go up specific gravity, Na
*Dilute makes #’s go down
ADH lives in pituitary; key words to make you think potential ADH problem: craniotomy, head
injury, sinus surgery, transphenoidal hypophysectomy
*Another name for anti-diuretic hormone (ADH) is Vasopressin. The drug Vasopressin (Pitressin
or DDAVP (Desmopressin acetate) may be utilized as an ADH replacement in Diabetes Insipidus.
Hurst Review Services 4
