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Pathophysiology
Test 1
87
Nursing
Undergraduate 2
02/19/2011

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Term
normal anion gap
Definition
15
Term
anion gap
Definition
difference between positive ions (Na+, K+) and negative ions (HCO3-, Cl-)
Term
why does Cl- change when HCO3- changes?
Definition
to maintain electrical negativity
Term
when HCO3- increases, Cl- ___. and vice versa.
Definition
decreases
Term
H2CO3 excess
Definition
respiratory acidosis
Term
cause of respiratory acidosis
Definition
decreased alveolar ventilation
Term
signs and symptoms of rspiratory acidosis
Definition
headache, tachycardia, cardiac arythmias, CNS depression
Term
compensation for respiratory acidosis
Definition
kidneys retain HCO3-
Term
H2CO3 deficit
Definition
respiratory alkalosis
Term
cause of respiratory alkalosis
Definition
increased alveolar ventilation (hyperventilation)
Term
symptoms of respiratory alkalosis
Definition
lightheadedness, CNS irritability (tingling, tetany), cardiac arythmias
Term
compensaion for respiratory alkalosis
Definition
kidneys excrete HCO3-
Term
excess of noncarboni acid
Definition
metabolic acidosis
Term
causes of metabolic acidosis
Definition
acid accumulation (poisoning, abnormal metabolism, shock, and loss of base HCO3- (diarrhea, pancreatic vistula)
Term
symtpoms of metabolic acidosis
Definition
headache, CNS depression
Term
copensation for metabloic acidosis
Definition
lungs excrete more H2CO3
Term
noncarbonic acid deficit
Definition
metabolic alkalosis
Term
causes of metabolic alkalosis
Definition
bas accumulation (excessive NaHCO3 intake, blood transfusions), and loss of acid (vomiting, gastric suction)
Term
symptoms of metabolic alkalosis
Definition
CNS irritability, eventual CNS depression
Term
compensation with metabolic alkalosis
Definition
lungs retain H2CO3
Term
therapy for respiratory alkalosis
Definition
anti-anxiety measures, 02 if due to hypoxemia, CO2 rebreathing
Term
therapy for respiratory acidosis
Definition
artificial ventilation, measures to improve ventilation
Term
therapy for metabolic acidosis
Definition
give NaHCO3, correct underlying cause, improve tissue oxygenation
Term
therapy for metabolic alkalosis
Definition
stop cause (antacids, CL-, K+, vomiting), almost never GIVE acid (HCl)
Term
what is K+ responsible for?
Definition
resting membrane potential of cells
Term
hyperkalemia
Definition
makes resting membrane potential less negative; nerve and muscle depolarize more easily; may not be able to repolarize normally
Term
normal K+ level
Definition
3.5 - 5.0 mEq/L
Term
hypokalemia
Definition
hyperpolarizes membrane potential making it more difficult to reach threshold and create an action potential; causes muscle weakness and cardiac arythmias
Term
Which kind of calcium is physiologically acive?
Definition
ionized, and bound is not
Term
hypercalcemia
Definition
decreased membrane permeability and higher threshold; more difficult to excite nerve and muscle cells
Term
hypocalcemia
Definition
increased permeability and lower threshold; eay to stimulate nerve and muscle cells
Term
normal range of calcium
Definition
4.5-6 mEq/L or 9-11 mg/100 mL
Term
What is the role of magnesium?
Definition
it interferes with the relase of achetylcholine from the neuromuscular junction
Term
hypermagnesemia
Definition
decreased excitability
Term
hypomagnesemia
Definition
increased excitability
Term
floppy or weak muscles may be a result of -----
Definition
increased or decreaed K+, increased Mg2+, and increased Ca2
Term
twitchy or easily stimulated muscles may be a result of ----
Definition
decreased Mg2+, or decreased Ca2
Term
hypovolemia
Definition
decrease in blood volume, particulalry plasma
Term
hypervolemia
Definition
increase in blood volume and plasma
Term
hypoventilation
Definition
occurs when ventilation is inadequate to perform needed gas exchange and causes an increased concentration of carbon dioxide and respiratory acidosis
Term
hypercapnia
Definition
increased CO2 concentration
Term
hyperventilation
Definition
reduces the carbon dioxide concentration of the blood to below its normal level because one is expiring more carbon dioxide than being produced in the body, thereby raising the blood's pH value making it more alkaline), initiating constriction of the blood vessels which supply the brain, and preventing the transport of oxygen and other molecules necessary for the function of the nervous system. causes respiratory alkalosis.
Term
oliguria
Definition
decrease in urine output
Term
which electrolyte imbalance is most critical?
Definition
hyperkalemia
Term
what is the role of calcium?
Definition
affects membrane permeability and threshold potential
Term
difference in hypoxia and hypoxemia
Definition
hypoxemia refers to decrease in oxygen partial pressue PAO2, while hypoxia is decrease in oxygen supply
Term
ischemia
Definition
restriction in blood supply
Term
increase in the size of cells
Definition
hypertrophy
Term
increase in number of cells
Definition
hyperplasia
Term
metaplasia
Definition
the reversible replacement of one differentiated cell type with another mature differentiated cell type. The change from one type of cell to another may generally be a part of normal maturation process or caused by some sort of abnormal stimulus. In simplistic terms, it is as if the original cells are not robust enough to withstand the new environment, and so they change into another type more suited to the new environment. If the stimulus that caused metaplasia is removed or ceases, tissues return to their normal pattern of differentiation.
Term
dysplasia
Definition
an abnormality of development.[1] This generally consists of an expansion of immature cells, with a corresponding decrease in the number and location of mature cells. Dysplasia is often indicative of an early neoplastic process. The term dysplasia is typically used when the cellular abnormality is restricted to the originating tissue
Term
neoplasia
Definition
the abnormal proliferation of cells. The growth of neoplastic cells exceeds and is uncoordinated with that of the normal tissues around it. The growth persists in the same excessive manner even after cessation of the stimuli. It usually causes a lump or tumor. Neoplasms may be benign, pre-malignant (carcinoma in situ) or malignant (cancer).
Term
normal PaO2 levels
Definition
80-100; varies with age
Term
normal Sao2 levels
Definition
greater than 95%
Term
what does paO2 level reflect?
Definition
the body's ability to pick up oxygen from the lungs
Term
the lungs compensate for the ____ and vice versa
Definition
kidneys
Term
can compensation correct a primary disorder?
Definition
no
Term
what is the normal ration of HCO3- to H2CO3
Definition
20:1
Term
what are the three main regulators of pH?
Definition
buffers (bicarbs and proteins-first line of defense), lungs (regulate H2CO3, hyper- or hypoventilation-second line of defense), kidneys (regulate HCO3-)
Term
nonspecific immune response cells
Definition
monocyte/macrophage, neutrophils (90%, early responder), eosinophils (2-5%, degrade inflammatory mediators and inhibit inflammation), basophils (<0.2%, bind IgE to surface recptors)
Term
specific immune response cells
Definition
T cells and B cells
Term
Types of T cells
Definition
CD4+ - helper T cells, CD8+ - cytotoxic T cells, CD8+ - suppressor T cells, Natural killer cells
Term
Process of Edema
Definition
fluid leakage greater than canbe absorbed, WBCs leak out, an antibody is attracted to any invading bacteria, phagocytosis occurs
Term
neutrophils
Definition
granulocytes, most abundant, relase kallikrein which catalyzes bradykinins which promotes vasodilation, vascular permeability, and mucous production
Term
eosinophils
Definition
granulocytes, contain destructive enzymes for killing infectious organisms, defend primary pathogens that are too big to be consumed by phagocytosis
Term
basophils
Definition
relase histamine which promotes inflammation by causing vasodilation, capillary permeability, and mucous production
Term
monocytes
Definition
agranulocytes, phagocytes, become macrophages, long lived and multiply
Term
lymphocytes
Definition
mediate specific immune response, circulate between lymphoid system and blood
Term
called PNMs or polys
Definition
monocytes
Term
first immune cells to appear in large numbers
Definition
monocytes
Term
fixed macrophages
Definition
part of reticuloendothelial system (lymph nodes, spleen, etc.)
Term
functions of macrophages
Definition
kill microbes, infected cells, tumor cells by phagocytosis; process antigens so they can recognized by T cells during immune response; secrete proteins called cytokines
Term
B cells
Definition
arise from bone marrow; produce antibodies; mediate humoral immunity
Term
T cells
Definition
arise from thymus; mediate cellular immunity; produce cytotoxic t-lymphocytes and cytokines; regulate immune responses
Term
stages of phagocytosis
Definition
chemotaxis (luekocytes move to inflammatory focus); adhesion; ingestion (vacuole is formed around particle); digestion (particle killed, fragments may remain)
Term
Pus formation
Definition
acute inflammation result when PMSs fail to phagocytose the bacteria quickly
Term
ulceration
Definition
acute inflammation result of extense pus formation that spreads to nearby tissues
Term
diffuse spread
Definition
result of acute inflammation that spreads inflammation, edema, and fluid sweeps along connective tissue
Term
humoral immune response
Definition
antibodies are produced by B cells when they are stimulated by antigens and lymphokines, and the antibodies bind and attack free antigen
Term
cellular immune response
Definition
Cytotoxic T cells bind to and attack specific antigens associated with own cells - altered self cells
Term
metastisis
Definition
the spread of a disease from one organ or part to another non-adjacent organ or part
Term
autoimmune disease
Definition
the body actually attacks its own cells. The immune system mistakes some part of the body as a pathogen and attacks it
Term
antibody
Definition
receptor on the surface of a lymphocyte
Term
five classes of antibodies
Definition
IgD IgA IgM IgG IgE
Term
T cells and MHC
Definition
when T cells bind to MHC antigen, it becomes activated and proliferated and makes memory and effector cells and secretes lymphokines
Term
TC cells
Definition
T cytotoxic cells, CD8 protein on the surface, acyivated by MHC I, kill cells that present antigen to them
Term
TH cells
Definition
T- helper cells, CD4 protein on surface, help activate B cells and TC cells, activated by MHC II
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