2025/2026 LATEST UPDATE GRADED A+
Terms in this set (117)
Normal Urine Output 40mL/hr (approximatley 1 Liter a day)
-weight gain
-electrolyte imbalance
Intake exceeds output -increased hemodynamic pressures
-decreased lung compliance
Central Venous Pressure (CVP) can indicate changes in fluid balance
2-6mmHg or 4-12cmH20
Normal CVP -decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
Stuporous, confused , sleepy consider sleep apnea or excessive O2 therapy (COPD patient)
Semicomatose responds only to painful stimuli
Obtunded drowsy state, may have decreased cough or gag reflux (protect airway)
Coma does not respond to painful stimuli
Electrolyte Imbalance Traits anger, combative, irritable
Drug Overdose Traits Euphoria-intense feelings of emotions ( joy)
Panic Traits severe hypoxemia, tension pnemothorax, status asthmaticus, or
possibly AAA (abdominal aortic anerysm)
Katz Scoring
Activites of Daily Living (ADL) System 0-
Scoring
dependent
6-independent
Orthopnea difficulty breathing except in the upright position (CHF)
1/
,Genreal malaise run down feeling, nausea, weakness, fatique, headache (consider electrolyte
imbalance)
COPD diet high fats, low carbs (carbs causes higher CO2)
2/
, Edema caused by CHF and renal
failure occurs primarily in
arms and ankles
Ascites accumulation of fluid in the abdomen generally caused by liver failure
Clubbing of fingers caused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
Venous distension or Jugular occurs with CHF
venous distension (JVD) seen during exhalation in patients with obstructive lung disease
Capillary refill indication of peripheral
circulation color should
return within 3 seconds
heart failure (recommend diuretics, positive
inotropic agents) fever, infection
Diaphoresis
(recommend antibiotics)
anxiety, nervousness (recommend
sedatives) tuberculosis/night sweats
(recommend antitubercular drugs)
gradually increasing then decreasing rate and depth in a cycle
Cheyne-Stokes Breathing lasting from 30-180 seconds, with periods of apnea lasting up
to 60 seconds
Cause: Increased intracranial pressure, brainstem inury, drug overdose
increased respiratory rate and depth with irregular periods of
Biot's Breathing apnea. Each breath has the same depth
Cause: CNS problem
increased respiratory rate (usually over 20 breaths/min), increased
Kussmaul's breathing depth, irregular rhythm, breathing sounds labored
3/