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Derek's notes on book 3
good review from just the final test of book3.
68
Medical
Not Applicable
12/16/2011

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Term
How much blood, in a fraction is ejected during a normal HR of 60 -100?
What about in mLs? So that means the Heart normally contains_________m/L and ______ (fraction left) remains in the heart at all times.
Definition
Heart normally contains like 100 mL.
Each beat ejects about 70 mL, which is

2/3s (1/3 remains after beat.
Term
What is the resistance against the ventricles to contract?
Definition
After Load
Term
S-T segment....ST depression indicates? Elevated indicates?
Definition
S-T depression= Ischemia

S-T elevation = Infarction
Term
Dehydration causes a high ___________.

(Packed cell volume of red blood cells per unit of blood) (normal ^ _________ ^ percentage is?)
Definition
Hematocrit (measured by spinning the science tube really fast)

Normal hematocrit 45% ( compared to 54% plasma)
Term
Heat Loss from object touching? (same as fire)
Definition
Conductivity
Term
When your drowning....the pathophysiological reason you die is from _____________
Definition
Hypoxia
Term
(GYN)
Endometrits vs Endometriosis
(endometritis caused by_______)
Endometriosis takes place ...?)
Definition
metritis-infection of the uterine lining*caused from infection
Metriosis- condition (not infection*like ^) in whchi endometrial tisse is found OUTSIDE the uterus.
Term
How long is a normal menstrual cycle?
Definition
14 days.
Term
Mc Burney's point located?
Definition
1-2 inches above anterior iliac crest in direct line with umbilicus
Term
Pain caused by gallbladder, palpated by pressing right under the costal margin? ________ sign

What med can you not give, why?
Definition
Murphy's Sign

NO MORPHINE - causes spasms in the cystic duct
Term
Main cause for Pancreatitis? about 80%...and what are signs and symptoms? *pancreatitis was an answer on ch 3 test
Definition
Pancreatitis is inflammation of the pancreas. Generally caused by alcoholism. 80 % or by mechanical, like a gall stone blocking... common signs are epigastric pain, stomach distention, nause/vomiting, if it get real bad
Term
White blood cells moving in response to a chemical signal? Usually traveling to an infection site to engulf some invaders (phagocytosis)

What is Leukopoiesis?
Definition
Chemotaxis
Leukopoiesis is where stem cells turn in to white blood cells, (3 different types)
Term
Humoral immunity vs cellular immunity
Definition
Humoral immunity-Uses antibodies called immnoglobulins (Igs) , or antibodies to attack invading substance.

Cellular- direct attack uses white blood cells.
Term
Eggs normally fertilized in the ___________ __________?

whats it called if they stay in the ^answer and start to devolpe there, (implantation of the fetus outside the uterus)
Definition
Fallopian tube.

Ectopic Pregnancy
Term
The movement of a solvent from low to high?

What about the movement of a solution?
Definition
Osmosis

Diffusion
Term
Placentia Abruptio..remember this occurred a lot. We know its the premature separation from the uterine wall. and placentia previa is when the placenta is abnormally placed (maybe in the lower part of uterine wall. what are the different signs symptoms?
Definition
Abruptio has three stages, so just cause theres no pain, doesnt mean previa, it can just be the first stage, marginal, can even have no blood There can be a sharp, tearing pain and stiff abdomen, as well as massive hemorrhage with the worse stages.
Previa is BRIGHT red blood. but still at least look over abrutio as it could be marginal separation.
Term
Pregnant chick, whos blood pressure rises 30mmhg in two occasions in six hours has what disorder? which can turn into ______ and cause the patient to start having ________.
Definition
Pre-eclampsia: one of the 4 HYPERtensive disorders, remember during pregnancy BP usually drops.
can turn into eclampsia: Seizures start occuring, problems with vision..most serious prego hypertension disorder.
Term
Signs and symptoms of Pre Eclampsia vs Eclampsia
Definition
Pre Eclampsia: A rise in BP, usually occurs in the last 10 weeks of gestation, during labor, and 48 hours postpartum.
Eclampsia: tonic-clonic seziure activity. usually preceded by visual disturbances.
Term
Difference between epilepsy and Eclampsia?
Definition
Find out in your pt history. Epileptic patients usually have a history of seizures, might be prescribed anti convulsants

Vs eclampsia pts can become grossly edematous and ^ BP
Term
RX for pre eclampsia and eclampsia pt's.
Definition
Serious and life-threating. Keep pt calm, dim lights, left lateral recumbent position, NO LIGHTS And SiRENS
Consider Magniusm for seizures
Term
What can occur with a thyroid disorder? (couldn't find this in the book..but on D's notes)
Definition
Hypocalcemia
Term
Cushings Syndrome...Also called? Disorder of the _____ _____.

Whats the other kind of disorder of the ^ answer?
Definition
Alson known as hyperadrenalism, Disorder of the ADRENAL GLANDS- Hypertension
vs
Addison's is the other type: Hypotension
Term
Cushings Syndrome
vs
Addisons disease can turn into Addisons ________
Definition
Cushings has excessive adrenocortical hormones, cortisol being the antagonist to insulin. Hypertension

Addisons: adrenocortical insuffencity- weakness, fatique, weight loss. turns into crisis-shocky and hypotension
Term
Signs and symptoms of hyperglycemia?
Definition
Develops over several days increased urination and INCREASED THIRST. as well as increased GLUCOSE in the URINE.
Term
If a patient feels the need to urinate, but can't, they might have a _____________________.
Definition
Bladder infection *on vol 3 test
Term
Cystitis?
Definition
infection and inflammation of the bladder
Term
Which gland connects endocrine to CNS?
Definition
Hypothaluamus
Term
2nd stage severe asthma reaction that might not respond to inhaled beta agonist drugs such as metaproterenol or albuterol instead need?
Definition
corticosteroids, to reduce inflammation.
Term
as far as cleaning is concerned? which method destroys certain forms of microorganisms?
Definition
Disinfection * page 611 vol 3
Term
decontamination methods.. start the decontamination process removing surface dirt and debris with soap and water. then begin to _________ and if necessary _________items.
Definition
disinfect-destroy certain forms of microorganisms but not all

sterilize- destroy all microorganisms. Steam, prolonged submersion in EPA approved chemical sterilizing agent
Term
possible indicator of mood?
Definition
affect
Term
State of uneasiness, discomfort, and apprehension?
Definition
Anxiety
Term
Remember the guy that went on the buyin spree.. up all night doing crazy purchases and such. what was his deal?
Definition
Bi-polar
Term
What type of consent is it if a woman gives you her arm to start an IV?
Definition
Informed Consent
Term
Pregnancy terms.... # times been pregnant vs viable births
Definition
Number times been prego-gravida
viable births- para
para3 gravida4 means had one miscarriage
(helpful saying a pair of, *para kids at home means, viable birth)
Term
Days in a normal ovulation period.
Definition
14 days
Term
Menorrhagia
Definition
Excessive menstrual flow
Term
Serves as an endocrine gland and produces progeterone during pregnacny
Definition
placenta
Term
does the placenta transport blood to the placenta?
Definition
No the vein in the umbilical cord does
Term
time from conception to delivery
Definition
Prenatal period
Term
Umbilical chord has how many blood vessels.
Definition
3 two arteries and one vein. vein transports blood to, arteries away from the baby.
Term
Hypertension, edema, protein in the urine, start thinking this patient might have?
Definition
Preeclampsia
Term
meconium showing? whats your next move...
Definition
suction airway and keep warm
Term
breakdown APGAR score.

0-2 or 1-3?
Definition
Apperance- (color) 0 pale blue 1 pink body blue arms 2 pink Pulse-0 absent 1 under 100 2 over 100
Grimace- (reflex/irritability) no response, some response, active response to pain, crying Activity- no movement, some flexation, active movement Respiration- absent, weak/gasping, active cry ALL ARE 0-3 15 total
Term
can u use back blows on a newborn to clear airway, alternating from thigh to thigh to switch between chest compressions and back blows?
Definition
NO- do not use back blows on an infant.
Term
after eating a high insulin meal, Glucose will?
Definition
increase. weird.
Term
what happens to the cells charge during depolarization.
Definition
become positive

just think oppisites, become neg during polar and + durin de
Term
Any diving accident with rapid ascent requires what immediately?
Definition
Treat with oxygen. high quality oxygenation
Term
What is the major producer of erythropoietin? what is <
Definition
Kidneys man! Erythropoietin is a hormone produced in the hormones that stimulate maturation of red blood cells
Term
Pain felt away from origin?
Definition
Referred Pain
Term
Turbulent blood flow causes _________damage vs tissue damage to the outside is ___________ damage
Definition
Intrinsic- turbulent blood flow. Extrinsic---outside damage
Term
Most important determinant of ventilatory rate?
Definition
Arterial PCO2 ****arterial arterial arterial pc02
Term
closure of the pulmonic and aortic valves makes the _____sound or the ______
Definition
dub or s2 s1 closes the tricuspid and mitral. T P My Ass (order of flow to help remember where each valve is)
Term
Engorged liver, spleen...has JVD and is tachy?
Definition
Right sided heart Failure
Term
Breakdown of Glycogen into glucose
Definition
Glycogenolysis
Term
hip surgery can cause.. or any surgery as recent surgery is a warning sign for?
Definition
pulmonary embolism
Term
abdominal pain associated with ovulation?
Definition
mittelschmerz
Term
What drug do you give to dialysis patient?
Definition
Sodium Bicarb
Term
If you find a pulsating mass in the abdomen than...
Definition
stop palpating
Term
Sign of imminent delivery?
Definition
crowning
Term
Mom has cocaine history and and sharp tearing pain * from test so just look
Definition
Placentia abrubtio
Term
most cardiac deaths result from?
Definition
dysrhythmias
Term
a girl with pain in face *another test ? just look
Definition
trigeminal nystalgia
Term
common complication of dialysis
Definition
bleeding at fistula site
Term
Infection of the lungs, mucous production
Definition
pneumonia
Term
swollen vein in esophagus, alcohol consumption could be?
Definition
Esophageal Varices
Term
Idiopathic bowel disorder from mouth to anus?
Definition
Crohn's Disease
Term
Inflammation of the gallbladder
Definition
Cholecystitis
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