Term
water content of
babies
adult
older adult |
|
Definition
70-80%
50-60% ** more so in men fat cells have little water
45-55% |
|
|
Term
| why are babies bad at conserving water |
|
Definition
| The kidneys are immature until 2 years and unable to conserve water and electrolytes |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| dehydration vs fluid volume deficit |
|
Definition
| Dehydration refers to loss of pure water alone and fluid volume deficit is loss of both water and electrolytes. |
|
|
Term
| intervention IV and s/s of hypovolumia |
|
Definition
Isotonic solution 0.9% Sodium chloride is used when rapid volume replacement is indicated
tachycardia/pnea |
|
|
Term
| 2 results of hypovolimic shock |
|
Definition
| Decreased oxygenation -Decreased venous return and decreased Cardiac Output |
|
|
Term
| 3 causes of hypovolmic shock |
|
Definition
| Excessive loss of blood (Postpartum hemorrhage) - Excessive loss of body fluids -Third spacing of fluids which can occur with burns. |
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|
Term
| The postpartum patient can loose up to_____ ml of blood before vs changes are noted |
|
Definition
The postpartum patient can loose up to 1000ml of blood before
changes are noted in their vital signs. |
|
|
Term
signs of late hypovolimic shock
hr
rr
bp
skin
UO
nero |
|
Definition
HR -Elevated > 110 bpm *
BP - Low; < 90 mm/Hg *
RR - High > 30-40
*UO - Low < 30 cc/hr
*Skin - pale, clammy, mottling
*Neuro - Confusion |
|
|
Term
signs of early hypovolimic shock
hr
rr
bp
neuro
skin
ou |
|
Definition
*HR - normal to slightly high
*BP - normal to slightly increased
*RR - normal to slightly increased
*UO - normal
*Skin - pale, cool
*Neuro - apprehensive |
|
|
Term
| what position should someone w hypovolmic shock be in |
|
Definition
| Modified Trendelenburg’s position |
|
|
Term
5 causes of hypervolomia
water and na go up together |
|
Definition
| Fluid given too rapidly -Congestive Heart failure leading to poor renal perfusion -Renal failure -Liver disease -Sodium overload |
|
|
Term
|
Definition
Pitting edema
Weight gain
Puffy eyelids
Tachycardia
Tachypnea
Increased BP |
|
|
Term
| 4 nursing interventions for hypervolomia |
|
Definition
Place patient in semi-fowler’s position
Assess for pulmonary edema
Give diuretics
Educate patient about decreasing intake of sodium |
|
|
Term
| only two electrolytes stored in body |
|
Definition
|
|
Term
|
Definition
below 135
Fluid loss from Vomiting/diarrhea, diaphoresis, and diuretic therapy |
|
|
Term
|
Definition
Anorexia, N/V
Altered LOC - lethargy, disorientation, H/A, confusion
Convulsions with serum sodium below 115 mEq/L |
|
|
Term
|
Definition
below 3.5
GI disorders e.g. diarrhea and vomiting *Diaphoresis and renal disorders |
|
|
Term
|
Definition
Anorexia; N&V
Fatigue
Muscle weakness, leg cramps
Cardiac arrhythmias
Decreased bowel motility |
|
|
Term
|
Definition
Renal failure *Overuse of magnesium containing antacids *Overuse of enemas or laxatives with magnesium
Magnesium sulfate given to pregnant patients with preeclampsia.
above 2.5 |
|
|
Term
|
Definition
Hot,flushed skin
Hypoactive reflexes
Hypotension, bradycardia
Depressed respirations
Lethargy and drowsiness
Decreased urine output
Absent Deep tendon reflexes when Magnesium levels toxic
Cardiac arrythmias |
|
|
Term
| hypermagneisum interventions 10 |
|
Definition
Give Calcium gluconate
*Prepare client for hemodialysis
*Give diuretics and 1/2 NS to cause excretion of magnesium
Monitor VS,
CV status,
deep tendon reflexes,
urine output and
level of consciousness |
|
|
Term
| 4 rehydration diet ideas in kids |
|
Definition
BRAT diet (Bananas, rice, applesauce, toast)
Bland diet
Sugar products may increase diarrhea
Milk products may also produce GI issues |
|
|
Term
|
Definition
used for rehydration
bannans
rice
applesauce
toast |
|
|
Term
| filgrastim (neupogen) indication |
|
Definition
colony stimulating adjent
stimulates neutrophills in BMD |
|
|
Term
filgrastim (neupogen)
AE/nursing |
|
Definition
weaknesss, fatigue. , bone pain
cbc, platlets AE |
|
|
Term
dexamethasone (decadron) indication
IV only |
|
Definition
long acting corticosteroid
reduces cerebral edema in menigitus , brain injury CVA |
|
|
Term
| haloperidol ( haldol)/ abilify action |
|
Definition
| alters the effect dopamine in the cns/ decrease the ss of psychosis |
|
|
Term
haloperidol ( haldol)/ abilify
AE |
|
Definition
| tardative dyskinesia allergic reaction , seziures, drowsiness, blurred vision |
|
|
Term
| isocarboxazid (Marplan) indications/ contras |
|
Definition
| depression, no preggo tyramines , ECG/BP, suicide risk |
|
|
Term
| enoxaparin (lovenox) indication |
|
Definition
| safer heparin , inhibits clotting factors no need to monitor APTT/ SQ only |
|
|
Term
| reteplase (retavase) indications |
|
Definition
| 2nd gen thrombilytic , specific to newly formed clot IV/ICU ONLY |
|
|
Term
| ceftriaxone (rocephin) indication |
|
Definition
| cross BBB, broad spectrium gram pos ABX |
|
|
Term
ceftriaxone (rocephin) contras
nursing |
|
Definition
cross sensitive to cillins
liver and renal labs |
|
|
Term
| amoxicillin ( augmentin) indication |
|
Definition
defeat beta lactase producing organisms
tx URI and ear infections |
|
|
Term
| amoxicillin ( augmentin) contra |
|
Definition
| allergy/ cross sensitive to ceph sporins |
|
|
Term
| demeclocyline indications |
|
Definition
penicillnase resistant org/ crosses bbb/
peneicillinase producing staph and cns infections |
|
|
Term
| demeclocyline ae/ nursing |
|
Definition
allergies / cross sensitive w ceph sporins
rash- weezing tachy |
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