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