CARDIOVASCULAR SYSTEM ASSESSMENT INTRODUCTION A careful and detailed clinical assessment is essential in order to assess the likely cause and severity of symptoms‚ arrange appropriate investigations and referral‚ avoid unnecessary investigations‚ and to assess individual risk of cardiovascular disease or cardiomyopathy. PREPARATION OF PATIENT • Room that is warm & “quiet” • Examining table positioned so you can stand on the patient’s right side • Explain the procedure to
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Nursing Assessment of the Postpartum Patient Date of data collection:___13 November 2014___ Patient initials _K.M.___ Age__28_ PP day _1__ (# days since delivery- 0‚ 1‚2 3‚ etc) Grav _4__ Para _3__ Term _3__ Preterm _0___ Ab_0__ LC___ Weeks gestation @ delivery (via EDC) _39.2____ Weeks gestation at delivery (from neonatal maturity rating/Ballard exam):_ 40_____ Date/time of delivery _12 Nov. / 1640_________ Labor onset - induced or spontaneous (circle one) If induced: indication (why)
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constant ache) Not always present if pt has renal disease (don’t have w/ proteinuria or hematuria) Have CVA tenderness (hit hand over kidney)‚ lower abdominal pain‚ intermittent pain(indicates renal stones)‚ flank pain (side) N/V‚ diaphoresis‚ s/sx of shock. Cause: Acute obstruction like stone‚ clot BLADDER- lower ABD pain (usually seen w/ distention) dull‚ continuous pain may be intense after voiding S/Sx: Urgency‚ pain after voiding (from spasms) Causes: Infection‚ cystitis‚ over distended bladder
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GASTROINTESTINAL DISORDERS Below is your answer sheet. Please submit only the answer sheet next meeting. 1. A 3- year-old child is hospitalized because of persistent vomiting. A nurse monitors the child closely for A. Diarrhea B. Metabolic acidosis C. Metabolic alkalosis D. Hyperactive bowel sounds 2. A nurse is monitoring for signs of dehydration in a one year old child who has been hospitalized for diarrhea. The nurse prepares to take the child’s temperature and avoids
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failure complains of increasing shortness of breath and is agitated and coughing up pink-tinged‚ foamy sputum. The nurse should recognize these as signs and symptoms of A. right-sided heart failure. B. acute pulmonary edema. C. pneumonia. D. cardiogenic shock. 4. What ’s the most appropriate nursing diagnosis for a client exhibiting obsessive-compulsive behavior? A. Ineffective coping. B. Imbalanced nutrition: Less than body requirements. C. Imbalaneed nutrition: More than body requirements. D. Interrupted
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Diabetic Emergencies Diabetic ketoacidosis ()()((D(KA) I. Definition: Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones. Diabetic ketoacidosis develops when your body is unable to produce enough insulin and an increase in insulin counter-regulatory hormones (catecholamines‚ cortisol‚ glucagon and growth hormone). Insulin normally plays a key role in helping sugar (glucose) — a major source of energy for
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I. Describe the role of the following hormones in the formation of urine‚ specifically explain the stimulus for their release‚ actions (decrease/increase GFR) and whether or not dilute/concentrated urine results): ADH (Vasopressin) – ADH has an antidiuretic action that prevents the production of dilute urine. Formation of urine = in the DCT and collecting ducts‚ water movement out of the body is regulated by ADH. Stimulus for their release = lowered blood pressure or low salt or water concentration
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26: Fluid‚ Electrolyte‚ and Acid-Base Balance Objectives Body Fluids 1. List the factors that determine body water content and describe the effect of each factor. 2. Indicate the relative fluid volume and solute composition of the fluid compartments of the body. 3. Contrast the overall osmotic effects of electrolytes and nonelectrolytes. 4. Describe factors that determine fluid shifts in the body. Water Balance and ECF Osmolality 5. List the routes by which water enters
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Fluid and Electrolytes Homeostasis t State of equilibrium in internal environment of body‚ naturally maintained by adaptive responses that promote healthy survival t Body fluids and electrolytes play an important role Water Content of the Body t Accounts for 60% of body weight in adult t 70-80% of body weight in infant t Varies with gender‚ body mass‚ and age Compartments t Intracellular fluid (ICF) t Extracellular fluid (ECF) l Intravascular (plasma) l Interstitial t Transcellular
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Alterations in Respiratory Function 1. Define and use the key terms as listed in the assigned readings 2. Using the four adaptive modes of Roy’s Adaptation Model (RAM)‚ recognize human adaptive responses to behavior or stimuli that affect respiratory function. 3. Identify differences‚ which affect the respiratory system in young‚ middle‚ and older adults. 4. Identify signs and symptoms of acute respiratory distress from impaired gas exchange. 5. Incorporate assessment of respiratory
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