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Baroreceptors, Norepinephrine, Epinephrine, Renin-Angiotensin-Aldosterone System, Aldosterone, ADH, ANP, Lifestyle Modifications, Diuretics, Loop Diuretics, Thiazides, Potassium-Sparing Diuretics, ACE Inhibitors, ARBs, Calcium Channel Blockers, Vasodilato

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Baroreceptors, Norepinephrine, Epinephrine, Renin-Angiotensin-Aldosterone System, Aldosterone, ADH, ANP, Lifestyle Modifications, Diuretics, Loop Diuretics, Thiazides, Potassium-Sparing Diuretics, ACE Inhibitors, ARBs, Calcium Channel Blockers, Vasodilators, Beta Blockers, Digoxin, Heart Failure, Dysrhythmias, Cholesterol Management, Statins, Antianginal Therapy, Nitroglycerin, Anticoagulants Exam Questions Verified and Complete with A+ Graded Rationales Latest Updated 2026 Baroreceptors Sensors that respond to pressure (Carotid and Aortic) -monitor blood pressure (detects changes in pressure) Norepinephrine and epinephrine Norepinephrine - causes CONSTRICTION Epinephrine- Causes DILATION Renin - Angiotension System produced by the Kidney. Renal baroreceptors sense a change in BP and release renin to increase or decrease of blood pressure. If BP is high=release of renin is decreased. If BP is low: release of renin is increased Aldosterone circulates to the kidney and causes cells to INCREASE SODIUM REABSORPTION. An increase in plasma volume will increase blood pressure antidiuretic hormone (ADH) POTENT VASOCONSTRICTOR to increase blood pressure Atrial Natiuretic Peptide (ANP) hormone released from the right atrium in response to an increase in blood volume. Works on the kidneys TO INCREASE THE EXCRETION OF SODIUM LOOK AT SLIDE 8 JNC 8 Guidelines Lifestyle Modifications -Sodium restriction -alcohol restriction -aerobic exercise or increase activity - smoking cessation Diuretics Mechanism of action: -Blockade of sodium and chloride reabsorption Site of action: -Proximal tubule produces greatest diuresis Adverse effects: -Hypovolemia (emergency condition in which severe blood or fluid loss makes the heart unable to pump enough blood to the body) - Acid-base imbalance -electrolyte imbalances - Hypokalemia (metabolic imbalance characterized by extremely low potassium levels in the blood... signs and symptoms include muscle weakness and cramps) Furosemide Mechanism of action: -Acts on ascending Loop of Henle to block sodium and chloride reabsorption Therapeutic Uses: -Pulmonary edema -Edematous states -hypertension Adverse effects: -Hyponatremia -Hypochloremia -dehydration. -Orthostatic hypotension due to loss of blood volume (check blood pressure and pulse prior to dosage administration) -Hypokalemia (can be alleviated by consuming a banana or potassium rich nuts) -Otoxicity Furosemide (drug interactions) -Digoxin -ototoxic drugs -potassium-sparing diuretics -Lithium -Antihypertensive agents -Nonsteroidal anti-inflammatory drugs. Other Loop Diuretics Ethacrynic acid (Edecrin) All can cause: Ototoxicity, hypovolemia, hypotension, hypokalemia, hyperuricemia, hyperglycemia, and disruption of lipid metabolism. Furosemide is always used first line All diuretics should be given in the morning hours. Thiazides also known as benzothiadiazides. Effects similar to those of loop diuretic -INCREASED RENAL EXCRETION OF SODIUM, CHLORIDE, POTASSIUM AND WATER Hydrochlorotiazide (HCTZ) Therapeutic uses: -essential hypertension -edema Adverse effects:

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Voorbeeld van de inhoud

Dysphagia, Aspiration, Sensory Appetite
Impairment, Nutritional Assessment, Enteral
Feeding, NG Tube, G-Tube, PEG Tube, Tube
Placement Verification, Residual Monitoring, Liquid
Diets, Soft Diets, Pureed Diet, NPO Management,
Parenteral Nutrition, TPN, PPN, Complication
Prevention, Medication Administration, Infection
Control, Tube Patency, Stoma Care,
Hyper/Hypoglycemia, Fluid Electrolyte
Management, Nutritional Nursing Interventions
Exam Questions Verified and Provided with A+
Graded Rationales Latest Updated 2026
Dysphagia

difficulty swallowing or inability of swallowing

Aspiration

misdirection of secretions or gastric contents into the larynx and lower respiratory tract

Sensory problems

taste, smell reduced impacts appetite

Nursing interventions - Nutrition

-Screening patients for nutritional risk at home
-Observing intake and appetite
-Evaluating the patient's tolerance
-Administering enteral and parental feedings
-Consulting with the dietitian and physician
-Addressing potential for drug-nutrient reactions

Implementing- Nutrition

-Physician orders diet
-Nurse educates
-Monitor nutritional status
-Clients may need alternative diets to meet their needs

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, Liquid Diet

Used most often as transitional diets when eating resumes after acute illness, surgery, or
parenteral nutrition

-Clear liquids: Contain foods that are clear at room and body temp

-Full liquid diet: liquids that can be poured at room temperature

Soft Diet

Regular diet modified to eliminate foods that are hard to digest and to chew

Adequate diet that is moderately low in fiber and lightly seasoned

Other Diets

Mechanically soft: Regular diet with modifications in consistency / used with patients who have
chewing difficulties or neck, mouth, head surgery / food is ground or mashed

Pureed: For those who cannot chew or have difficulty swallowing/ Regular diet placed in a
blender / thickness may vary / does not change the taste, just the consistency

NPO

Nothing by mouth.

Before surgery or certain medical tests, after surgery until bowel sounds return, patient
suffering from severe nausea/vomitting, comatose, women during labor and delivery

Patients that are NPO for more than 2-3 days may require nutritional support from enteral of
parenteral nutrition

Nursing responsibilities with NPO patients

-Oral hygiene very important
-Involve family in helping patient with NPO status
-Ice chips or sips of water if allowed (need order)

Enteral Nutrition

Passing a tube into the GI tract to administer a formula containing adequate nutrients

Enteral feedings allow the stomach to be used as a natural reservoir, regulating the amount of

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