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Dialysis M3

Exam 2

QuestionAnswer
acid base balance depends on the concentration of_________? hydrogen
upper airway has__________? nose, pharynx, larynx
vocal cords are in the________? Larynx
nose does what _______? warms, humidfys and filters air
gas exchange happens in the________? alveoli
The flow of blood from the right ventricle of the heart through the blood vessels of the lungs and back to the left ventricle of the heart is called the ___________? Pulmonary circuit
pathway from the de o2 blood from the heart through the lungs back to the heart ?
what are the nerve supply of the lungs? vegus nerve and sympathetic ganglia
muscles of respiration? diaphragm and intercostals
apnea absence of breathing
cheyne-stokes faster and deeper respirations with pauses
kussmaul faster and deeper respirations without pause
scoliosis s-shapped spine
wheezes high pitched whistling sounds
rhonchi corse, rumbling, low-pitched sounds
rales (crackles) short, discrete poping or crackling sounds
pleural friction rubs creaking, leathery, loud, dry coarse sounds
hco3 is bicarb
h+ hydrogen icon
cardiac cycle vena cava's, 1. RA, 2. tri valve, 3. RV, 4. PUL Valve, 5. lungs, 6. LA, 7. Mitral valve, 8. LV, 9. aortic valve, body
location of the heart? mediastinum, behind the sternum
heart is the size of a? fist
what incloses the heart paricardial sack
the ___________ protects the heart from friction paricardial fluid (5-20ml)
inflamation of the paricardial sack paricarditis
epicardium outer layer
mycardium muscle of the heart
endocardium inner membranous surface (chambers)
pul vein carries ___ blood oxygenated blood
LV pumps to the body
Mitral is on the left
tri it before you bi it
tri valve right
the first heart sound of the heart that is the lub S1
the second sound of the heart that is the dubb S2
what feeds the heart of 02 bood coronary artery
what is the widow maker left main blockage
removes de o2 blood from the heart coronary veins
SA node pacemaker 60-100bpm
VA 40-60bpm
bundule of hiss 20-40bpm
heart is regulated by medulla oblongatta The synoatrial (SA) node likes to beat at 100 bpm and it is the Vagus nerve that is regulated by the autonomic nervous system's parasympathetic branch that keeps it at a lower normal rate for an adult at around 70-80 bpm.
sympathetic fight or flight
parasympatheic rest and digest
normal cardiac volume 5 lpm
formula for cardiac output Stroke Volume x Heart Rate
systole normally 115-130
diastole normally 70-80
special properties automaticity, conductivity, excitability, contractibility
CHF decreased CO
tamponade pericardial sac becomes filled unitl heart is restricted
what is the function of fluids ?
up to __% infants are water 90
up to __% adutls are water 60
intracellular is about __% of total body weight 40
cation is a _______ charged particle positive
major extracellular cation sodium
major intracellular cation potassium
sodium value 135-145
potassium value 3.5-50
co2 value 22-26
calcium 8-10
mag 1.6-2
phosphate 2.5-4.5
bun 8-20
creatinine .7-1.5
hypertonic has a greaer concentration of solute
hypotonic has a smaller concentration of solute
isotonic solutions exerting equal osmotic pressure
active transport movement
ATP moves
hypernatremia elevates NA
lactic acid breakdown
a lot of H+ ions means the PH goes down
the acid base ratio goal 20:1
a lot of bicarb (HCO3) means my PH goes up
the renal system respond to PH imbalance a the ___ defense third
pCO2 value 35 to 45 mm Hg
HCO3 value 22 to 26 mm Hg
what is the ratio for staffing on the floor 3 patients for 1 tech
what is the ratio for staffing in the ICU 1 patient for 1 tech
what is the rario for RN to tech 1 RN for every 5 techs
needed for dialysis clinic water room, iso room, portable machine
ANNA
NANT
texas gun trader. com gt dist.
absorption process by which is absorbed into circulation
matabolism takes place in the ________? liver
medication is elimantated the ________? kidneys
Excretion the process by which a drug leaves the bod either in unalterd state or metabolized form
polypharmacy creates potential for adverse drug reactions
pCO2 acidic 46 or higher
pCO2 alkaline 34 or less
HCO3 acidic 21 or less
HCO3 alkaline 27 to or higher
7.30 acidic
7.50 alkaline
7.40 normal
vancomyicin can not be removed by dialysis
renal patients take antimicrobials
most ________ are not removed by dialysis narcotics
most ________ are dialyzable non-narcotics
acetaminophine is not dialyzable
phosphorus binder must be given with _____ meals
antacids should be given __________ after medications 30 minutes to one hour
whats are nephrocaps folic acid and pyridoxine
calcium replacements should be combined with reduction of ________ in diet phosphorus
most antihypertensive are ______ by dialysis not removed
do not give hypertonic solution to a patient the last 60 minutes of treatment
usual NS bolus dose 100-200 ml increments
dextrose 50% treats hypotention and cramping
must monitor patient atleast every ____ minutes 30
do not exceed what temp for dialysis warmer 40 c
you feel the ______ ? thril
you hear the _______? bruit
steal syndrome ischemia to distal portion of extremity
steal syndrome seen in ________ patients diabetic
what are the 4 valves Tricuspid, pul, Mitral and Aortic
sodium 135-145
functions of elecrolytes
what defines an acid H+ ion
whats a respirtory acid co2
bicarb ratio goal 20-1
A dialysis patient's long term plan should me revised ________? Annually
A dialysis patient's short term plan should be revised ________ for unstable chronic patients? Monthly
A dialysis patient's short term plan should be revised ________ for stable chronic patients? Quarterly
Created by: SGT WEAVER