Prom Flashcards
- Most abundant macromineral?
Calcium
- Major case or urolithiasis or urinary tract stone?
Calcium stone
Normal Values of calcium is?
4.5-5.8 mEq/L or 9-11 mg/100ml
Four servings during pregnancy for bones and teeth of fetus?
Milk (calcium)
Increased in Cushing’s syndrome to prevent osteoporosis?
Calcium
What is the effect of PTH (Parathormone) on the calcium level of the blood?
Increased
What is the effect of calcitonin on the calcium blood level?
Decreased
Process of calcium movement from bones to blood?
Ca or bone reabsorption
Process of calcium movement from blood back to the bones?
Ca or bone reabsorption
What is osteoclast
Dead Bone Cells
What is osteoblast?
Living bone cells
Why are bedridden patients prone to stone formation?
SHIFTING OF CALCIUMS FROM BONERS TO BLOOD
Functions are for hardening of the bones, teeth, blood clotting, nerve impulse transmission and muscle contraction?
Calcium
Given to old women to prevent osteoporosis?
Calcium
What to be done to bedridden cases to prevent urinary calculi?
Passive or active exercise
Special diet to prevent calcium stone formation?
Acid ash diet
If deficient, leads to cramps, spasm, tetani, + Chovestek sign, + troussoues sign, broncho and laryngospasm?
Calcium
Tapping the area in front of the earlobe initiate what sign?
CHOVESTEK’S SIGN
Calcuim gluconate is the antidote of what drug?
MgSo4
Lack of vitamin D and calcium in young children leads to?
Rickets
Lack of vitamin D and calcuin in adult leads to?
Osteomalasia
Osteoporosis is potential to?
Fracture
Primary cat-ion in the ICF?
Potassium
Normal value of POTASSIUM (K+)
3.5-5.0 meq/L
Major electolyte loss in diarrhea and vomiting
Potassium
Increased during lasix and thiazide therapy?
Potassium
Limited in kidney failure, AGN during oliguric stage?
K
Excessive K-blood level is termed?
Hyperkalemia
Deficient K-blood level is termed?
Hypokalemia
Urine output is less than 500 cc is termed
Oliguria
Hormone that controls K and NA level of the blood
Adosterone
Limited and newly burnt cases?
Calcium
Controls pH, fluid balance, nerve impulse transmission; muscle contractility, BP, Glycogen use?
K
Usual first sign of excess cramps flaccid paralysis, hypertoxicity, and diarrhea?
Hyperkalemia
Effects of too much or lack of potassium K+ on the heart?
Arrythmias
Antidote of to much K+ to prevent cardiac irritability?
Ca Gluconate
Kayexate or NA polysterene is given by enema to remove excess?
K
Isulin + glucose, NaHCO3, injection plus control of metabolic acidosis shifts excess of K to what fluid space?
Ecf to Icf
What happens to K-level of blood in Addisons Disaese?
Increase (limited intake)
What happens to K-level of blood in Cushing Syndrome?
DECREASE (SUPPLEMENT)
Drugs that induce K- loss or hypokalemia?
LASIX, THIAZIDES (LOOP)
. Drugs that promotes K retention?
POTASSIUM (K+)- SPARING – ALDACTONE, DYRENNIUM
K- level of blood in metabolic acidosis?
INCREASED
K- level of blood in metabolic alkalosis?
Decreased
Major an-ion in the ICF space?
Phoshate po4
For fluid, pH it is imbalance and nerve impulse conduction and muscle contractility?
SODIUM (NA+)
Maintained in lithium therapy?
Na
Lithium is for what bipolar disorder?
Manic
Normal blood value of SODIUM (NA+)
138-145 meq/L
Excess may lead to hypertension, edema, anasarca
Na
Edema of the whole body?
Anasarca
Limited in any case of water retention, Cushing Syndrome, HPN, Nephritic Syndrome, Ascites, pheocromocytoma?
Na
Increased in cystic fibrosis, Addisons Diseaes, Diarrhea, vomiting, client of lithium who had diaphoresis?
Na
If hyponatremic leads to giddiness, abdominal cramps, hypotension, cold, pale skin, syncope?
Hyponatremia
If hypernatremic leads to sticky saliva, dry mouth, thirst, weight gain, hyperthermia?
Hypernatremia
Group of drugs that promote excretion into the urine?
Diuretics
Group of drugs that promote retention into the blood?
Steroids
Ear problem that demands Na- restriction?
MENIERE’S DISEASE
Pre- menstrual problem that demands Na restriction?
PRE- MENSTRUAL SYNDROME
Very salty skin of a newborn, suspect what disorder?
CYSTIC FIBROSIS
Major an-ion in the ECF space?
Chloride
Normal magnesium level of the blood? 1
1.5-2.5 meq/L
The effects of to much Mg to the CNS?
CNS DEPRESSION
Action of Mg SO4 in cases of Eclampsia?
ANTI-CONVULSANT, LOWER BP, CATHARSIS
The vital signs to check before repeating dose of MgSO4?
DTR, RR, BP AND URINE
Antidote to MgSO4 toxicity?
CALCIUM GLUCONATE
Cheapest source of Magnesium?
GREEN LEAFY VEGETABLE
GREEN LEAFY VEGETABLE
Minerals
Movements of solvent from an area of lower concentration to an area of higher concentration?
Osmosis
Major protein that maintains colloidal osmotic pressure of the blood?
Albumin
Fluids that swell body cells?
Hypotonic
- Fluids that don’t shrink or swell body cells?
Isotonic
NSS (0.9 NaCl), lactated ringers, D5W are what group of solutions?
Isotonic
- NaCl 0.45% and tap water is what group?
Hypotonic
D5 saline, D10 water, D20 water, D5 in 1⁄2 strength saline?
Hypertonic
Mannitol or Osmitrol are what type of solutions?
Osmotic diuresis
Solutions that is hanged together with blood?
0.9 Nacl(Pnss)
Solution used for gastric irrigation, post TURP, eye irrigation, tracheostomy, loosening of phlegm or sputum?
Saline solution
Solution given in DKA and Addisons Disease?
0.9 Nacl
The 55% of whole blood is made up of?
PLASMA
- The universal recipient?
TYPE “AB”
immobilization of the spine by fusion spinal fusion (uniting) of two or more vertebrae.
spinal fusion
The formed elements of the blood are expressed in a laboratory test called?
HEMATOCRIT
Major cat-ion in the ECF space?
Na
Increased after 48 hours in burnt cases?
K
Increased during digitalis therapy to prevent toxicity?
K
Loss in aging process especially post-menopausal women?
Ca
Applying pressure of sphymomanometer on the upper arm will initiate what sign?
TROUSSOUES SIGN
Blood accounts approximately 8% of the weight in its volume is between?
5-6 LITERS
Usual first sign of deficiency are muscle weakness, malaise, fatigue and hypotoxicity?
hypokalemia
Nutrient to limit in edema?
na
Lack of B9 will lead to what disorder?
MEGALOBLASTIC ANEMIA
Average count NEUTROPHILS of the WBC?
60-70%
Distended neck veins (jugular veins}, liver congestion, ascites, pleural effusion, anorexia, nausea ,
nocturia pedal or ankle edemas are signs of ?
RIGHT SIDED HEART FAILURE
Limited and severe pre-eclampsia?
Na
Why hypokalemia leads to digitalis toxicity?
HEART STREGNTH WAS LOST
Exercise, fever, anemia, early shock, thyroid T3 T4 excess, ATSo4, isuprel, anxiety will do what to
the heart rate?
INCREASED
Normal total body color of newborn?
Red-Pink
Bluish hands and feet of the newborn is called?
Acyanosis (Normal)
It Is a mild form of depression, depressed mood for at least 2 years.
Dysthymia
Preoccupation with self- without concern for external; reality, a self-made private world, lack of trust,
poor interpersonal relationship and language.
Autism
Maintained in normal ankle edema of pregnancy?
Na
- For patient that is too active, agitated and inactive catatonic.
Alteration of activity
- Praising every effort of patient is a form of?
Positive reinforcement and motivation.
Repetitive acts performed in a particular manner in response to obsession to prevent, bind, and
neutralize anxiety.
Compulsion
Increased in steroid therapy to prevent osteoporosis?
Ca
First sign of Menieres Disease or
endolymphatic hydrops
Vertigo (environment is swinging upside-
down)
Calkins sign, sudden gush of blood,
lengthening of cord
Signs of Impending placental delivery
reshaping or reconstructing a diseased joint.
arthroplasty
Limited during aldactone, dyrennium, amiloride therapy?
k
removal of an eyeball.
enucleation
crushing of a calculus (stone).
lithotripsy
immobilization of the spine by fusion (uniting) of two or more vertebrae.
spinal fusion
Needs vitamin D to promote absorption?
ca
Four servings during pregnancy for bones and teeth of fetus?
MILK (CALCIUM)
B12 is needed for normal RBC formation; also called?
COBALAMINE
What is the usual 1st sign of digitalis toxicity?
N. A. U. D., YELLOW VISION
Sources are milk, dairy products, dilis, sardines eaten with bone, and green leafy vegetable?
Ca
Found in oranges, bananas, grape fruit, dried fruits and legumes?
K
Found in dried fish, fermented fish, fish sauce, milk, eggs, canned and bottled food?
Na
Hormone thrombopoetin accelerates productions of what blood cells?
PLATELETS
Fluids that shrink body cell?
Hypertonic