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Paulwanchez750

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Chapter 1 Porth Pathophysiology

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Health "State of complete physical, mental, and social well-being and not merely the absence of disease and infirmity", WHO 1948 Pathophysiology Physiology of altered health, deals with cellular and organ changes that occur with disease and with effects these changes have on total body functions. Etiology The cause of disease. Etiologic factors: biological agents, chemical agents, physical forces, nutritional excesses or deficits and others

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  • by paulwanchez750 • 
  • uploaded  28-03-2024
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CCU & ICU

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what is your first step when entering a room while working in ICU/CCU? stop & observe CCU/ICU Purpose/goals - patients are highs risk & medically unstable - dec. complications & overall morbidity - restore patient to maximal functional capacity

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Care of the Critically Ill Client

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What does critically ill mean? A critical care environment is an acute, fast-paced, high-tech, and multidisciplinary team environment where the purpose is to preserve the function of life whether it be a special condition or a general condition. Who is the direct care provider of critically ill patients? RN who contains special knowledge and skills related to critical care How do families typically respond in the ICU? Families are typically stressed, anxious, and learning to cope and adap...

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  • by paulwanchez750 • 
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CAM-ICU

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Acute change or fluctuating course of mental status ask the question: "is there an acute change from mental status baseline OR has the patient's mental status fluctuated during the past 24 hours?" **if no, then NO DELIRIUM!** Test for inattention with CAM-ICU (negative result) tell patient to squeeze hand every time you say a specific letter; if only 0-2 errors then NO DELIRIUM present

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  • by paulwanchez750 • 
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Burns

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What is the most common type of burn injury in infants and children ? Thermal (scald) What is a thermal burn ? Thermal burns results from exposure to heat, either dry or moist What type of damage does thermal burns produce ? - direct exposure to heat source causes cellular destruction and may result in charring of vascular, bony, muscle, and nervous tissue.

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  • by paulwanchez750 • 
  • uploaded  28-03-2024
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basics: ICU

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shows blood pressure, respiration rate, temperature, blood gas, and cardiac patterns vital signs monitor photoelectric device to measure oxygen saturation oximeter physical therapy should not be conducted if oxygen is below ____ 93

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Anesthesia; Surgical Critical Care

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Anesthesia for general surgery is a combination of what drugs? (5) - amnestic - analgesic - neuromuscular blocker (paralytic) - sedative hypnotics - +/- antiemetics What types of patients need close monitoring intra-op? PTs with cardiac history (HTN, CAD, CHF) Pre-op anesthesia evaluation: (5) - neck ROM - thyroid cartilage - mouth opening - dentition (loose/missing teeth) - eval tonsils, uvula, soft palate

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Adult Critical Care Specialist -- General Critical Care (Respiratory)

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Three phases of ARDS Exudative Phase Proliferative Phase Fibrotic Phase Exudative Phase of ARDS Starts within 12-36 hours of insult to lung, lasts 1-7 days Characterized by: Alveolar damage and leukocytic inflammation Hypodermic, tachypnea and progressive dyspnea Increased physiologic deadspace leads to hypercarbia Bilateral diffuse alveolar and interstitial opacities on chest X-ray

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