Summary
UPNS 232 Exam 1 Blueprint Summary
- Course
- Adult Health UPNS 232
- Institution
- Duquesne University
This is a comprehensive and detailed blueprint summary on exam 1 for this course.
[Show more]
Content preview
UPNS 323 Adult Health and Illness- Spring 2019Exam 1 Blueprint
30 Questions
45 minutes to complete Test, 10 minutes to Review Rationales
Fluid and Electrolytes 4
Blood 1
ABG 5
Cancer 7
Heme 8
HIV 5
30 questions total
Two select all that apply
Pao2- o2 dissolved in arterial blood 80-100
Paco2- carbon dioxide dissolved in arterial blood
hCO3- bicarbonate in the bloodstream, kidneys and liver
Patient assessment
- breathing fast and shallow- red flag
- heart rate is fluctuating erratically and it is not normal- red flag
Anything on the left side is acidic, anything on the right is basic
Acidic ------ alkaline (basic)
pH 7.35-7.45
PaCO2 45-35 (respiratory)
HCO3 22-26 (metabolic)
ROME:
R-respiratory
opposite- pH is high and other is low (paco2 is less than 35)
Alkalosis- hyperventilation
O-opposite
pH is low and other is high (PACO2 is higher than 45)
Acidosis (hypoventilation)
Hypoventilation from pain or distension, massive pulmonary embolism,
, M-metabolic
pH is high and other is high
Alkalosis- difficult to treat
E- equal
pH is low and other is low
Acidosis- renal failure, diabetic ketoacidosis, anaerobic metabolism, starvation, salicylate
intoxication
Uncompensated: CO2 or HCO3 is normal
Partially compensated: nothing is normal
Fully compensated: pH is normal
RBC:
- Reticulocyte count- measure of immature RBCs, reflection of bone marrow productivity
- Measuring hematocrit- measures packed cell volume of RBC expressed as a percent of
total blood volume
- Critical value Hct < 15% (leads to heart failure); Hct of < 24 % indicates need for
transfusion – but this value depends on condition of patient
Hemoglobin- measures gas carrying capacity of the RBC (less than 5 or greater than 20 is
dangerous)
- Anemia (symptoms- pallor, glossitis (red swollen tongue), koilonychia (spoon shaped
brittle nails), stomatitis (dry corners of mouth))
- Normal range is 13.5-17.5
- 10-14 is mild (no symptoms)
- 6-10 is moderate anemia (raised cardiopulmonary symptoms)
- Less than 6 is severe anemia (involves multiple body systems)
- Iron deficiency anemia- serum ferritin levels less than 12 (from blood loss and poor
intestinal absorption)
- macro anemia- acute sudden blood loss
- Interventions- liver, red meat, red wine, green veggies
- Vitamin B12 deficiency- vegetarians, low dairy intake, small bowel problems, tapeworm
- Interventions- increase B12 and folic acid, take vitamin supplements (IM if
severe), beef, chicken, ham, fish, whole egg
- Patient has poor balance
- Pernicious anemia- cobalamin (need an intrinsic factor)
- Signs and symptoms- mood swings, infections, hbg 7-8, lemon yellow skin
- Schilling test- determines amount of b12 in urine (24 hour test), B12 injection
also given- cyanocobalamin
- Folic acid deficiency- RBC have shorter life span, from meds (antiseizure, birth control),
malabsorption
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
53068 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now