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Dialysis M3
Exam 2
| Question | Answer |
|---|---|
| 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
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