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1.What is the clinical presentation of Goodpasture's syndrome? Urinalysis: Specific gravity: 1.020. pH 5.5, 1+ albumin and large blood present. Chest XR positive for bilateral diffuse infiltrates. BUN 30, Cr 3.0 Symptoms: dyspnea with hemoptysis 2.What is Goodpasture syndrome? Damage to alveolar and renal glomerular basement membranes by cytotoxic antibody. 3.Initial treatment for Goodpasture's syndrome? Hospitalization, pulse dose of steroids, begin plasmapheresis and cycloph...

1.What are signs & symptoms of SIADH (Syndrome of inappropriate antidiuretic hormone)? Increased production of ADH (antidiuretic hormone), hyponatremia, concentrated urine (from excess water resorption), elevated urine osmolality, mental status changes from cerebral edema. 2.Diabetes insipidus is associated with what sodium level? Hypernatremia Psychogenic polydipsia results in urine that is: diluted with low osmolality and hyponatremia. 3.How would you determine the cause of a pati...

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A client with AKI has a serum potassium level of 7.0 mEq/L. The nurse should plan which actions as a priority. Select all that apply. 1. Place the client on a cardiac monitor 2. Notify the HCP 3. Put the client on NPO status except for ice chips 4. Review the client's medications to determine if any contain or retain potassium 5. Allow an extra 500 mL of intravenous fluid intake to dilute the electrolyte concentration 1, 2, 4 The potassium level is elevarted. The client is at risk f...

A nurse provides education regarding the proper use of a car seat to the parents of an infant. Which of the following instructions should the nurse include? (Select all that apply.) A. Place car seat rear facing in the rear seat. B. Tighten harness of the car seat so it fits snugly. C. Put the retainer clip of harness at the level of infant's armpits. D. Adjust shoulder harness slots of car seat to be level with infant's ears. E. Avoid placing rear facing car seats in a front seat ...

Normal Length for PR, QRS, and QT intervals. PR 0.12-0.20 sec, QRS 0.08-0.12 sec, and QT interval less than or = to 450 ms or half the R-R interval Big box on ECG readings = ___ seconds? 0.20 seconds Little boxes on ECG readings = ____ seconds? 0.04 seconds The mA that achieves capture is the _______ _________ pacing threshold Defibrillation energy settings (biphasic and monophasic) biphasic 120-200 j and monophasic 360 j Synchronized Cardioversion energy settings for SVT or aflutter...

Heart rate on an ECG number of complexes in 6 seconds x 10 evaluating the heart rhythm regular or irregular; look at R-R intervals PR interval 0.12-0.20; top of P wave to top of R wave - determine if consistent or not QRS complex <0.12 seconds NSR seen in majority of patients, 60-1

Normal VT 6-8 ml/kg Normal RR/Frequency 12-16 bpm Appropriate frequency (RR) if setting the Vt at: -6 ml/kg -7 ml/kg -8 ml/kg -16 bpm -14 bpm -12 bpm Appropriate PEEP 5 cmH2O Normal I-time 0.8-1.2 sec I:E for an obstructive disease pat

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kidneys are like 2 washing machines bc they wash the blood of wastes/toxins and regluate fluid volume too heart sends _____ of the CO to the kidneys via the descending aorta 25% kidneys send blood to ________ first nephron where does blood get filtered in kidneys? bowmans capsule inside nephron GFR over _____ is normal 90 what do we use to stage kidney disease GFR FREE pneumonic to remember functions of kidneys F- filtration of wastes, meds, electrolytes (where fluids flow, electrol...