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Dialysis M3

Exam 2 rewiew

Staffing for in-center chronic 1 staff to 3 patients
staffing for in-center self care 1 staff to 6 patients
RN ratio for techs 1 RN to 5 Techs
RN ratio for home training 1 RN to 10-12 patients
T/F MD must be in the hospital when dialysis is done outside the unit True
T/F Two dialysis staff must be present in unit whenever patients are dialyzed True
staff to patient ratio for acute patient care off unit 1 staff to 1 patient
What regulation cover local command policies AR 385-10, AR 385-30
Dialysis need 24 hour _____ to operate LAB, Blood, Xray
who is responsible for the policies of the unit medical director
upper airway nose, pharynx and larynx
lower tract trachea (12 inches) drives into 2 main stem bronchi and ends with the alveoli
major nerve supplies to the lungs vegas nerve and thoracic sympathetic ganglia
major muscle of inspiration diaphram
lungs regulates ph with blood hydrogen concentration
where is the voice box located larynx
chemoreceptors are located in the aortic arch carotid
respiratory system controls CO2 portion of henderson-hasselbach equation
apnea absence of breathing
cheyne stokes gradually deeper and faster with pauses
kussmal's deeper and faster
pectus excavatum funnel chest, sternum retracts inward
kyphosis exaggeration of normal convexity of thoracic spine (hunch back)
scoliosis shoulder raised and hip lowered (S-shaped)
kyphoscoliosis s-shaped spine with hunch back
wheezes high pitched whistling
rales (crackles) short, discrete, popping
rhonchi coarse, rumbling, low pitched
pleural friction rubs creaking, leathery, dry coarse
patient says EEE and changes to AAA Egophony
absorption process by which a drug is absorbed into circulation
distribution movement of absorbed drugs from site of absorption to other locations
metabolism takes place in the _______? liver
metabolism chemical conversion of a drug to another chemical for, usually less toxic
excretion takes place in the ______? kidney's
excretion process by which a drugs leaves th body in an unaltered or metabolized state
example of a dialyzable antibiotic gentamycin
example of two non dialyzable antibiotics vanco, amphotericin
give vanco over ________ hour 1
give amphotericin over _______ hours 4
systemic antacids are given to treat __________? metabolic acidosis
example of systemic antacid _________? sodium bicarbonate
non-systemic binder neutralize gastric acid IE calcium
phosphorus binder must be given with______? meals
antacids should be given _________? 30- 1 hour after medication
nephrocaps contain______? folic acid and pyridoxine
example of bulk forming colace, metamucil
ace inhibitors interrupt renin-angiotensin-aldosterone system for control of HTN
osmotic diuretic example mannitol
osmotic diuretic's is frequently given during the first 1-3 dialysis treating to prevent dialysis disequilibrium
location of the heart lies in the mediastinum, behind the body of the sternum
pericardium membranous sac that encloses the heart
pericardial space filled with fluid 5-20 cc for lubercation
epicardium outer layer of the heart
myocardium muscular part of the heart
endocardium inner layer of the heart
ventricles are the major pumps of the heart
LV main pump and largest most muscular
av valves mitral left, tricuspid right
semilunar valves pulmonary and aortic valves
mechanical cells striated
electrical cells conduction pathway and nodal cells
automaticity generate its own impulse
conductivity propergate impulse
excitability respond to impulse
contractibility lengthen and shorten
normal cardiac output is 5 lpm
SV x HR= Cardiac output
S1 lubb
S2 dubb
Created by: SGT WEAVER
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