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Exam (elaborations)

NR226 EXAM 2.

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Exam of 7 pages for the course PHYA510: ACLS Algorithms at PHYA510: ACLS Algorithms (NR226 EXAM 2.)

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  • June 21, 2024
  • 7
  • 2023/2024
  • Exam (elaborations)
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NR226 EXAM 2
Mild allergic reaction
Flushing itching hives


Anaphylactic reaction
Hives, shortness of breath, wheezing shock, death


Acute intravascular hemolytic reaction
Fever, chills, lower back pain, low blood pressure, shock blood, and
urine, cardiac arrest death


Febrile non-hemolytic reaction
Fever, chills, headache, muscle aches, anxiety


If any reaction occurs during blood transfusion....
STOP transfusion
CHANGE tubing and run normal sailing
REPORT to healthcare provider
REMAIN client monitor vitals every five minutes
SAVE blood container and tubing to report to blood bank
COLLECT blood and urine samples


Osmality
The amount of particles within a fluid contributing to fluid concentration


Hypertonic solutions
High osmolality
Given one blood osmolality is low (Fluid volume overload)


Isotonic solutions

, Balanced osmolality
Have equal particles and water
Most common is normal saline


Hypotonic solution
Have less particles than water
Given when blood osmolality (dehydration)


Urine Specific Gravity
1.005-1.030


Hematocrit
the percentage of RBC in plasma


Higher hematocrit higher blood osmolality (dehydrated)
Low hematocrit low blood osmolality (fluid volume overload)


Electrolyte imbalance causes
Vomiting, diarrhea, sweating unable to replenish fluids, side effects from
medication's, excessive urination, kidney failure


Potassium range
3.5-5.0 mEq/L


Magnesium range
1.3-2.1 mEq/L


Sodium range
136-145 mEq/L

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