Exam 3 Flashcards
Name the triggers & actions of: ADH
Trigger: ⬆️ Na+
Action: Acts on kidneys by making them more permeable to water. As a result more water is returned to the blood.
Name the triggers & actions of: ALDOSTERONE
Trigger: ⬇️ Na+
Action: Reabsorbs Na+ & H2O from the urine back into the blood.
Prevents excessive kidney excretion of Na+
Name the triggers & actions of: Natriuretic Peptides
Trigger: ⬆️ Fluid volume
Action: Prevents kidneys from reabsorbing Na+ & H2O, ⬆️ urine output
Range of: Ca+
9.0 - 10.5 mg/dL
Range of: Na+
135 - 145 mEq/l
Range of: K+
3.5 - 5.0 mEq/l
Range of: Cl-
95 - 110 mEq/l
Range of: BUN
10 - 20 mg/dl
Range of: Creatinine
0.5 - 1.2 mg/dl
Range of: Blood Glucose
70 - 140
Normal ABG Values: pH
7.35 - 7.45
Normal ABG Values: PaCO2
35 - 45 mmHg
Normal ABG Values: HCO3
22 - 26 mEq/L
Normal ABG Values: PaO2
80 - 100 mmHg
Normal ABG Values: SaO2
93 - 100%
Aluminum or magnesium salts increases pH of gastric contents by deactivating pepsin. Mylanta, Maalox, Tums.
Antacids
↓ gastric acid production by binding directly to the hydrogen-potassium-ATPase pump mechanism and irreversibly inhibit the action of this enzyme, which results in a total blockage of hydrogen ion secretion from the parietal cells (long-acting). Prilosec, Prevacid, Protonix, Nexium; no Iron Salts
Proton Pump Inhibitors
s/sx of small bowel obstruction
abd pain upper or epigastric distention metabolic alkalosis fluid and lyte imbalance Obstipation (major/severe constipation)
↓ gastric acid secretions by blocking histamine receptors in parietal cells. Zantac, Pepcid
H2 Receptor Antagonists
s/sx of large bowel obstruction
intermitten lower bowel cramping lower abd distention obstipation or ribbon like stool typically no fluid or lyte imbalance metabolic acidosis (not always present)
choledocholithiasis
Presence of a stone in the common bile duct
Cholecystitis
inflammation of the gallbladder.
Diverticulosis
Presence of pouchlike herniations in the wall of the intestine
Diverticulitis
Acute Inflammation of one or more of the diverticula
What disorder(s) is the following diagnostic test used for? sigmoidoscopy
CA, users, polyps
What disorder(s) is the following diagnostic test used for? ERCP
Gallstones, Pancreatits