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Exam (elaborations)

NURB 3050 Final Exam Study Guide

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NURB 3050 Final Exam Study Guide ...

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  • September 23, 2024
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  • Exam (elaborations)
  • Questions & answers
  • edema
  • NURB 3050
  • NURB 3050
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NURB 3050 Final Exam Study
Guide

Edema - Answer an excess of fluid in the interstitial compartment, which causes a
swelling or enlargement of tissues

Prolonged edema interferes with - Answer venous return, arterial circulation, and cell
function

Causes of edema - Answer 1. increased capillary hydrostatic pressure

2. decreased plasma osmotic pressure in the capillaries

3. lymphatic obstruction

4. increased capillary pearmeability

Increased Capillary Hydrostatic Pressure - Answer -equivalent to higher blood pressure

-forces excessive fluid out of capillary into tissue

Hypervolemia - Answer increased blood volume cause by kidney failure, pregnancy, and
CHF

Decreased Plasma Osmotic Pressure in the Capillaries - Answer -loss of plasma
proteins

Lymphatic obstruction - Answer - tumor or infection damages a lymph node or lymph
node is removed

-cannot circulate lymph fluid

Increased Capillary Permeability - Answer - results from an inflammatory response,
bacterial toxins, burn or wound infections

Effects of Edema - Answer -localized swelling

- redness or pale

-pain

-pitting edema

-weight gain

-headache

,-functional impairment

-impaired arterial circulation

- susceptible to tissue breakdown

-high BP

Dehyrdration - Answer insufficient body fluid resulting from either inadequate intake or
excessive loss of fluids, or a combination of both

-measured by change in weight

hypovolemia - Answer loss of fluids in the vascular compartment (bloodstream)

Causes of dehydration - Answer -vomiting and diarrhea

-excessive sweating

-GI suction

-DKA

-insufficient water intake

-use of concentrated formula for infants

diabetic ketoacidosis - Answer insufficient insulin, leading to high blood glucose levels
and mobilization of lipids

effects of dehydration - Answer dry mucous membrane

decreased skin turgor

Low BP, weak pulse

fatigue

increased hematocrit

decreasing mental function

confusion & loss of conciousness

turgor - Answer elasticity

hematocrit - Answer percentage of red blood cells in volume of blood

body compensated for dehydration by - Answer increasing thirst

increasing heart rate

constricting cutaneous blood vessels

, producing less urine

Third spacing - Answer fluids shifting out of the body into a body cavity or tissue where it
is no longer available as circulating fluid

- shift causes a fluid deficit in vascular compartment (hypovolemia) and fluid excess in
the interstitial space

Hyponatremia - Answer -deficit of sodium

- caused by early chronic renal failure, sweating, vomiting and diarrhea, diuretics (fluid
pills), hormonal imbalances, excessive water intake

effects of hyponatremia - Answer anorexia, nausea, cramps, fatigue, lethargy, muscle
weakness, headache, confusion, seizure, decreased BP, impaired nerve conduction,
hypovolemia

hypernatremia - Answer increased amount of sodium

-caused by large amount of sodium intake, insufficient ADH, loss of thirst, watery
diarrhea, prolonged periods of respiration

effects of hypernatremia - Answer weakness, agitation, firm subcutaneous cells,
increased thirst, dry mouth, decreased urine output

Hypokalemia - Answer deficient potassium levels

-caused by: diarrhea, diuresis associated w/ diuretic drugs, excessive hormones that
regulate electrolytes(aldosterone or glucocorticoids), decreased dietary intake
(alcoholism, eating disorders, starvation), treatment of DKA w/ insulin

effects of hypokalemia - Answer cardiac dysrhythmias leading to cardiac arrest,
interferes w/ neuromuscular function, fatigue, nausea, muscle weakness, parethesias,
decreased appetite (anorexia), shallow breaths, polyuria, impaired renal function

Hyperkalemia - Answer excessive potassium levels

-caused by kidney failure, deficit of aldosterone, use of "potassium-sparing" drugs
(diuretics), prolonged acidosis,

crash injuries/burns (leakage of potassium out of cells into blood)

effects of hyperkalemia - Answer cardiac dysrhythmias that leads to cardiac arrest,
muscle weakness to paralysis, impairment of neuromuscular activity, fatigue, nausea,
parathesias

hypocalcemia - Answer deficit in calcium levels

-caused by hypoparathyroidism, malabsorption syndrome, deficient serum albumin,
increased serum pH

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