medical surgical nursing 3 Flashcards
is a decrease in the number of RBCs, the amount of hemoglobin, or the volume of packed RBCs, all of which will result in a decreased amount of oxygen being delivered to the cells
anemia
is a deficiency of circulating RBCs due to failure of the bone marrow to produce these cells
aplastic anemia
is an inherited childhood disorder of autosomal recessive defects, characterized by the presence of an abnormal form of hemoglobin
sickle cell anemia
is characterized by a deficiency of circulating platelets
thrombocytopenia
is a feeling of discomfort in the epigastrium with a conscious desire to vomit
nausea
is the forceful ejection of partially digested food and secretions from the upper GI tract
vomiting
a protrusion of the stomach into the esophagus through an opening in the diaphragm
hiatus hernia
includes conditions characterized by erosion of the GI mucosa in the lower esophagus, stomach and duodenum, and jejunum
peptic ulcer disease
is not a disease but rather a conditions of inflammation of the gastric mucosa
gastritis
refers to any clinically significant symptomatic condition of reflux of the gastric contents into the lower esophagus
GERD
an inflammation of the mucosa of the stomach and small intestine, resulting in vomiting and diarrhea
gastroenteritis
an inflammation of the vermiform appendix, a narrow, fingerlike appendage found just below the ileocecal valve
appendicitis
an inflammation of the diverticular sacs, most commonly due to obstruction with fecal matter
diverticulitis
consists of the immunologically related disorders of chrons disease and ulcerative colitis
IBD
characterized by inflammation and ulceration of the colon and rectum
ulcerative colitis
is a chronic nonspecific inflammatory bowel disorder of unknown origin that can affect any part of the GI tract from mouth to anus
chrons disease
results from bilirubin diffusing into tissues and giving them a yellow or greenish-yellow tinge
jaundice
occurs when there is an increase in the number of RBCs destroyed, which increases the amount of bilirubin in the blood
hemolytic jaundice
develops from damaged liver cells that are unable to clear bilirubin from the blood
hepatocellular jaundice
results from an obstruction to bile flow. bile will back up into the liver and then into the blood
obstructive jaundice
refers to stones in the gallbladder
cholelithiasis
inflammation of the gallbladder
cholecystitis
is an inflammation of the liver marked by liver cell destruction, necrosis, and autolysis
hepatitis
refers to the chronic, progressive, irreversible and widespread destruction of hepatic cells, with scar tissue replacing healthy tissue
cirrhosis
an inflammation of the pancreas that can be acute or chronic
pancreatitis
most common form of adrenal insufficiency. usually results from an autoimmune disorder
addisons disease
a spectrum of clinical abnormalities caused by excess corticosteroids, particularly glucocorticoids
cushings disease
a clinical syndrome in which there is a sustained increase in synthesis and release of thyroid hormones by the thyroid gland
hyperthyroidism
is a state of low levels of serum thyroid hormones
hypothyroidism
occurs when ADH is released despite normal or low plasma osmolarity
SIADH
is a group of conditions associated with a deficiency of production of ADH or a decreased renal response to ADH
diabetes insipidus
a multisystem disease to abnormal insulin production, impaired insulin utilization, or both
DM
involves a progressive destruction of pancreatic beta cells
type 1 DM
the pancreas continues to produce some endogenous insulin, however the amount produced is either insufficient or is poorly utilized by the tissues
type 2 DM
found in pts whose blood glucose level is abnormally below 4 mmol/L
hypoglycemia
caused by an absence or a markedly inadequate amount of insulin
diabetic ketoacidosis
malignant neoplasm of the ovaries
ovarian cancer
an enlargement of the prostate gland resulting from an increase in the number of epithelial cells and stomal tissue
benign prostatic hyperplasia
refers to an infection of the renal parenchyma and collecting system
pylonephritis
indicates inflammation of the bladder wall
cystitis
inflammation of the urethra
urethritis
is a UTI that has spread into the systemic circulation and is a life threatening condition requiring emergency treatment
urosepsis
is bacterial infection of the renal pelvis, tubules, and interstitial tissue of the kidney
acute pyelonephritis
a condition characterized by marked proteinuria, hypoalbuminemia, dyslipidemia, and edema
nephrotic syndrome
is an inflammation of glomerular capillaries caused by an immunological process. it affects both kidneys equally and can lead to renal failure
glomerulonephritis
common genetic disease. cysts form in the renal tubules, and as they advance and increase in size, they fill the cortex and the medulla and destroy surrounding tissue by compression
polycystic kidney disease
refers to kidney disease
nephrolithiasis
stones in the urinary tract
urolithiasis
is a clinical syndrome characterized by a rapid loss of renal function with progressive azotemia
acute renal failure
refers to the progressive, irreversible destruction of nephrons, resulting in systemic damage to all organs
chronic renal failure
a catheter is surgically placed through the anterior wall of the abdomen into the peritoneum
peritoneal dialysis
requires vascular access nd incorporates shunts and internal arteriovenous fistulas and grafts
hemodialysis
are characterized by unilateral or bilateral throbbing pain caused by vasodilation of the dural blood vessels that then stimulate the trigeminal nerve pain pathway
migraine headaches
are thought to be variants of migraine headaches and are characterized by repeated headaches that occur for weeks or month at a time. followed by periods of remission
cluster headaches
any trauma to the scalp, skull, or brain
head injury
includes an alteration in consciousness, no matter how brief
head trauma
are the most minor type of head trauma. the scalp is very vascular and therefore can bleed profusely
scalp lacerations
may be linear, comminuted, depressed or compound, closed or open. the type and severity of a skull fracture depends on the velocity, momentum, and direction of the injuring agent and the site of impact
skull fractures
a medical emergency with a high mortality rate. the inflammatory response increases CSF production and ICP
bacterial meningitis
is most commonly caused by enterovirus, arbovirus, HIV or herpes. usually presents with headache, fever, photophobia, myalgias, and a stiff neck
viral meningitis
an acute inflammation of the brain that can be fatal. can be caused by a number of viruses, including west nile virus.
encephalitis
a purulent infection of the brain with an accumulation of pus within brain tissue. infection may be due to an ear, tooth, mastoid, or sinus infection
brain abcess
a chronic, progressive, degenerative neuromuscular disease that is characterized by inflammation of the white matter of the CNA
MS
a disease of the basal ganglia characterized by slowing down in the initiation and execution of movement, increased muscle tone, tremor at rest, and impaired postural reflexes
parkinsons disease
a severe infection of the bone, bone marrow, and surrounding soft tissue
osteomyelitis
is a chronic, progressive, metabolic bone disease characterized by low bone mass and structural deterioration of bone tissue
osteoporosis
a widespread, nonarticular, musculo-skeletal pain condition that causes fatigue and multiple tender points
fibromyalgia syndrome
characterized by unexplained debilitating fatigue in which any type of exertion can affect multiple organs in a person
chronic fatigue syndrome
is a noninflammatory disorder of the diarthrodial joints. it is slowly progressive, with the majority of adults being affected by age 40
osteoarthritis
a chronic, systemic disease characterized by inflammation of the connective tissue in the diarthrodial joints and surrounding tissues
rheumatoid arthritis
a chronic multisystem inflammatory disorder of the connective tissue
systemic lupus erythematosus
a prevalent population issue and is a common workplace condition resulting in lost of productivity that can result in significant economic and social costs
low back pain
it is a protrusion of the nucleus pulposus between adjacent surfaces of vertebral bodies and may occur anywhere along the spine
herniated intervertebral disc
is a disruption or a break in the community of the structure of a bone, usually due to a blow to the body, a fall. or another accident
fractures
occurs when there is a sudden interruption of circulation in one or more of the cerebral blood vessels, resulting in the death of brain cells
stroke (cerebral vascular accident)
paralyzed lt side (hemiplegia) left sides neglect, spatial-perceptual deficits, tends to deny or minimize problems, rapid performance, short attention span, impulsive; safety problems, impaired time concepts
right-sided damage (stroke)
paralyzed right side: hemiplegia, impaired speech-language, impaired right-left discrimination, slow performance, cautious, aware of deficits, depression, anxiety, impaired comprehension related to language, math
left-sided damage (stroke)
inflammation or infection of the middle ear is considered the most common cause of conductive hearing loss
otitis media
vision is lost gradually due to the developing opacity of the lens or lens capsule of the eye
cataracts
refers to a group of disorders characterized by abnormally high intraocular pressure, which can damage he optic nerve
glaucoma
is a degeneration of the macula, the central area of the retina, which results in varying degrees of central vision loss
age related macular degeneration
refers to an intermittent or sustained elevation in the diastolic or systolic bp
hypertension
refers to any narrowing or obstruction of arterial lumina that interferes with cardiac perfusion
coronary artery disease
unexpected death from cardiac caused
sudden cardiac death
abnormal heartbeat
dysrhythmia
an abnormal condition involving impaired cardiac pumping
heart failure
an abnormal dilation in an arterial wall, commonly in the aorta between the renal arteries and iliac branches
abdominal aortic aneurysm
an imbalance between the supply and demand of blood and nutrients that results from the degeneration of the peripheral vascular system
peripheral vascular disease
the formation of a clot in associated with inflammation of the vein
peripheral venous disease
occurs when there is injury to the tissue of the body caused by heat, chemicals, electrical current, or radiation and can lead to many local and systemic conditions
burns
is a syndrome characterized by decreased tissue perfusion and impaired cellular metabolism
shock
is loss of intravascular fluid, either an absolute or relative volume loss
hypovolemic shock
occurs after SCI, at t5 or above. results in massive vasodilation, leading to pooling of blood in the vessels
neurogenic shock
manifested by decreased reflexes, loss of sensation, an flaccid paralysis below the level of injury
spinal shock
an acute life threatening hypersensitivity reaction that causes massive vasodilation, increased capillary permeability, and release of mediators
anaphylactic shock
a systemic inflammatory response to infection
septic shock