Exam #3 Flashcards
what is bereavment?
- grief and mourning that can be described the inner feeling and outward expression people exp during loss
what are the five stages of grief according to kubler- ross?
- denial
- anger
- bargining
- depression
- acceptance
what is grief?
emotional response to loss
what is mourning?
religious
social expression of loss
what is the diffrence between hospice and palliative care?
hospice- 6 months or less to live
palliative- noncurable diseases just trying to managing syptoms
what is isotonic?
normal movement from in and outside the cell
what is an example of an isotonic solution?
normal saline
what is hypertonic?
all the water moves into the cell
what is hypotonic?
all the water moves out of the cell
what is an example of an hypertonic solution?
TPN
what is an example of an hypotonic solution?
what is the body’s normal pH?
7.35- 7. 45
what are the blood transfusion reactions?
- back pain
- chills
- fever
- “feeling funny”
what disease has fluid volume excess and deficit simultaneously?
cirrhosis
what is the lab value for hyponatermia and hypernatermia?
MPCS
hypo- less than 135 mEq/L
hyper- greater than 145 mEq/L
what is the lab value for hypokalemia and hyperkalemia ?
MPCS
hypo- less than 3.5 mEq/L
hyper- greater than 5.0 mEq/L
what is the lab value for hypocalcemia and hypercalcemia?
hypo- less than 9mg/dL
hyper- greater than 10.5 mg/dL
what is the lab value for hypomagnesemia and hypermagnesemia?
hypo- less than 1.3 mEq/ L
hyper- greater than 2.1 mEq/L
what measurement of blood pH is considered acidosis?
do do re mi fa sol la ti do
less than 7.35
what measurement of blood pH is considered alkalosis?
the alk is greater than the doe
Greater than 7.45
what is an example of an acid?
respiratory
Co2
what is an example of alkaline?
metabolic
HCO3-
what is the normal value for co2?
35-45
what are th normal values for HCO3- ?
22- 26
what are the signs and syptoms of a fluid imbalance?
N/V, DMM, UO
- N/V
- dry mucuos membranes
- urine osmarlity
what are the signs and syptoms of fluid retention?
IP, LR, PE, CL, WG
- 100 + pulse
- labored respirations
- 3+ pitting edema
- crackling lungs
- weight gain
what should patients avoid when the take oral replacement of fluid and electrolytes?
- ## caffeine ( increases UO)
what is malignant hyperthermia?
allergic reaction to anesthia
what is an example of regional anesthesia?
epidural
what information is obtained during preop?
LOC, VS, L/DE
- LOC
- vital signs
- labs and diagnostic exams
what are the main components of a post op phase?
AWM, MVS, NS, PM, 24HRFR
- airway management
- monitoring vital signs
- neuro status
- pain management
- 24 hr fall risk
what is norcioceptive pain?
sharp, burning, aching, cramping
caused by trauma or inflammation