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WGU D236 Patho Study Guide 100% Accurate!!

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Pressure that is due to albumin in the bloodstream? - ANSWER-Oncotic Oncotic - ANSWER-a form of osmotic pressure exerted by proteins In the blood, _____ is the most common plasma protein and is, therefore, a primary determinant of oncotic pressure - ANSWER-albumin _____ controls osmotic pr...

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WGU D236 Patho Study Guide 100% Accurate!!

Pressure that is due to albumin in the bloodstream? - ANSWER-Oncotic



Oncotic - ANSWER-a form of osmotic pressure exerted by proteins



In the blood, _____ is the most common plasma protein and is, therefore, a primary determinant of
oncotic pressure - ANSWER-albumin



_____ controls osmotic pressure in vascular system, builds volume - ANSWER-Albumin



One question was about the difference in children and adult immunity - ANSWER-Possible answer:
naive T cells



Learning check question: Which differences in immunity make children and older adult patients more
susceptible to infections? Choose 2 answers



Younger patients have fewer memory cells to combat infection



Older adult patients have a dwindling population of naive T cells



Older adult patients have more memory cells to combat infection



Younger patients have a large population of naive T cells



Older adult patients have a large population of naive T cells - ANSWER-Younger patients have fewer
memory cells to combat infection



Older adult patients have a dwindling population of naive T cells

,Rationale: younger patients have not been exposed to many pathogens, which means that they have
fewer memory cells than adults. The primary immune response is relatively weak compared to a
secondary response mediated by memory cells.



Buffers, renal compensation, and respiratory compensation help to maintain a blood pH of _______ -
ANSWER-7.35-7.45



A patient with a viral illness and severe vomiting has an elevated CO2 level and a blood pH of 7.53.
She is breathing slowly. What condition does the patient have?



Metabolic alkalosis

Metabolic acidosis

Respiratory alkalosis

Respiratory acidosis - ANSWER-Metabolic alkalosis



The patient's pH and CO2 level are both elevating (moving in the same direction). This indicates
metabolic alkalosis. The CO2 level is high because her respiratory system is attempting to
compensate for the high pH by exhaling less and retaining more CO2



To prevent changes in pH, the body employs buffer systems. The body utilizes 3 buffer systems: -
ANSWER-proteins, phosphates, and the carbonic acid-bicarbonate system



Carbonic acid-bicarbonate system first line of defense is _____, second line of defense is _____ -
ANSWER-respirations; kidneys



Carbonic acid-bicarbonate system equation - ANSWER-The equation moves in both directions



CABS Equation:

When CO2 levels are elevated, the equation moves ________, forming more H+ and HCO3- ions -
ANSWER-toward the right



CABS Equation:

When H+ ions are elevated, the equation moves _____, as H+ ions are converted to CO2 and the CO2
is exhaled. - ANSWER-toward the left

,CO2 levels - ANSWER-35-45



HCO3 levels - ANSWER-22-26



Michael's pulmonary edema leads to respiratory acidosis. How does pH impact Michael's basal
metabolic panel? Choose 3 answers.



His CO2 level is increased because his lungs have difficulty removing it from the bloodstream.



His K+ is elevated because, as H+ moves inside of cells in an attempt to get it out of the bloodstream,
K+ moves from cells into the bloodstream.

Older adult patients do not have as many T cells compared to younger patients. When these patients
encounter novel pathogens, the reduced number of naive T cells gives clonal selection fewer
opportunities to "find" T cells that will be effective.



Fluid and electrolyte levels are regulated by _______, which regulates actions such as thirst, ADH, the
kidneys, and RAAS. - ANSWER-osmoreceptors



Fluid deficit causes - ANSWER--Excessive loss

-Inadequate intake

-Or combination of both



Fluid deficit risk factors - ANSWER--Vomiting/diarrhea

-Excessive sweating

-Insufficient water intake



Fluid deficit manifestations - ANSWER--dry mucous membranes

-decreased skin turgor

-decreased urine output

-low blood pressure

-tachycardia

-confusion

, ROME for ABGs - ANSWER-Respiratory Opposite Metabolic Equal



If pH and pCO2 are moving in opposite directions, then it is pCO2 levels that are causing the
imbalance and it is respiratory in nature

If they are moving the same direction then it is metabolic in nature




His sodium level is decreased due to hypervolemia.



His calcium level is reduced because the elevated concentration of H+ makes it easier for Ca+ to bind
to albumin.



Metabolic alkalosis pH >7.45 = respirations slow down to increase CO2 retention



Respiratory acidosis = excess CO2 has accumulated which is generating H+



Respiratory alkalosis = lungs blow off too much CO2, creating less H+ in blood



What is excreted in response to fluid volume overload? - ANSWER-Natriuretic peptides



Natriuretic peptides - ANSWER-hormonal signals released by the brain and heart in response to
excess fluid in the body



Natriuretic peptides signals _____ urine output and ____ fluid volume - ANSWER-increase; reduce



A hormonal panel was done on a patient with congestive heart failure and fluid volume overload.
Which elevated hormone on the patient's chart is indicative of the body's attempt to reduce the fluid
overload? - ANSWER-BNP - it's released when fluid volume excess is present



Compare and contrast hemodialysis and peritoneal dialysis - ANSWER-Hemodialysis:

-machine pumps blood from the body and filters waste

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