TUESDAY Flashcards
fluid amounts total in and out in 24hours
30ml per hour
2500ml per day
how much fluid is lost from skin
500ml
how much fluid is lost from kidneys
1.5L (1500 mL)
how much fluid is lost from feces
200ml
how much fluid is lost from lungs
300ml
water amount in intracellular compartment
66 percent
water amount in extracellular?
2 compartments
27-interstitial
7- intravascular
causes of potassium loss
Renal Failure/ Disease
Diarrhea
to much sodium intake
diuertics (loop dieurtics)
Phases of the nursing process
1) assess
2) gather
3) nursing dx
4) goal
5) intervention
6) evaluation
Respiratory abnormals
COPD pneumonia asthma lesions pleural effusion sinisutis cold tonsilits
purposes of documentation (5)
1) Written Communication
2) Permanent Record for Accountability
3) Legal Record of Care
4) Teaching
5) Research/ Data Collection
hypersensitivity
allergy to pollen, foreign bodies, tissue rejection (organ transplant), cell mediated response of the body
anaphylaxis
body begins to shut down, alters homeostasis
GI dx:
radiographic scan type preps montior before and after scope (camera)
ascites
accumalation of fluid into the peritoneal cavity (abdominal cavity)
back up from liver disease
Indicates R sided heart failure–> vena cava—>fluid backs up into abdominal cavity
paracentesis- may be used to relieve pressure by draining abdominal cavity with a needle
colostomy
lower
ileostomy
higher
jaundice
excessive bilrubin ( yellowish tint) (LIVER PROBLEMS)
normals of aging
everything slows down
delay in responses
presbycusis (Greek presbys- elder; akousis-hearing) - natural occuring loss of hearing
presbyopia- natural loss of vision with age (progressively diminished ability to focus on near objects d/t loss of elasticity of lens)
secretions decrease
RIsk for Infections
immunocompromised infection chemo/radiation catheter fluid volume deficit Age ( Babies, Frail Elderly) HIV incontemtient wound/open area malnutrition some meds
routes of drug excretion
- gi tract—-> feces —-> renal tubules into urine
- skin, exhalation from lungs, secretion into saliva and breast milk
problems- liver function, illesotomy, age, kidney functions
Medicare
pays 100percent for first 20 days
80 percent rest of time
coverage for 100days
Medicare Part A
hospital insurance
- pays for inpatient hospital care
- up to 100 days of Rehab service or skilled services
Medicare Part B
medical insurance
- similar to a major medical insurance plan
- retiree pays for this monthly; income related
- providers
- outpatient ( ER, limited therapies)
- Labs, x-ray, etc.
- ambulance
Medicare Part D
DRUGS
-perscription drug coverage for brand name drugs at participating pharmacies
DRGS ( HOSPITALS)
Dx-related group
illness categories; a math formula used to arrive at the fee the goverment will pay for hospitalization: flate fee based on diagnosis regardless of length of stay
assertivenes
helps advocate for pt
promotes honesty, open communication
considers others feelings and needs
benefits nurse, patient, and staff
I do not count. you count
nonassertive
you do not count, I COUNT!!!!
aggressive behavior
I count, you count
assertive behavior
immunosuppression
medication
immuno comprimised- getting over illness, chemo, radiation
autoimmune: body doesn’t recognize self (lupus [SLE], rheumatory diseases, addison diease)
5 parts to immune
Innate immunity
humoral
active
passive
Cellularinnate immunity
intact, skin, membranes, stomach acid, tears, sweating, saliva
Humoral immunity
products responds to antigens, and foreign tissue
active- antibodies ( made by body or by vaccines)
passive- breast milk
cellular immunity
T cells & b cells
types of documentation
focused note narrative electronic documentation charting by exception ( LTC - weekly summary) Problem oriented medical record
GOOD LUCK!!
YOU CAN DO IT!!!
