Study Guide
Study Guide for N124 Final Fall 2013
1.What happens physiologically in fluid volume deficit situations; how do we best keep track of a patient’s fluid volume; consequences of dehydration Ch.13 iggy
-daily weights are the best indicators of fluid loss or gains pg.176
Cardiovascular- heart rate increases in attempt to maintain BP. Weak peripheral pulses pg.175
Skin changes-skin turgor poor, tenting, skin dry and scaly, dry mucus membranes( may be covered with a think sticky, pastelike coating), toungue may have deep furrows
Neurological changes- Alteration of mental status (especially confusion), might have a low grade fever
Kidney changes-urine maybe consentrated with a SG >1.030, and appere dark incolor and have anstrong odor.
Respiratory changes-increase respiratory rate as a way to maintain oxygen delivery when tisuue perfusion is decreased.
2.complications of influenza pg.645
-Influenza can lead to complications pneumonia or death
3.Tx of cap-Pg.652
Comminity acquired pneumonia (CAP) treatment include
Home health management-no special changes are need in the home. If patient has a second story the patient may prefer to stay on one floor because climbing stairs increases fatigue and dyspnea. Toileting needs can be met with a bedside commode. Teach patient to notify their health care provider if fever,chills, persistant cough, increasing fatigue recurs or if symptoms fail to resolve.Aq111
Home teaching-review all drugs with the patient and family and emphasize completing anti-infectives therapy. Teach patient dietary changes which include increasing proteins (protein bound drugs), smaller more frequent meals, and fluid intake to thin secretions if not contraindicated
Health care resources-inform patients who smoke that smoking is a risk factor for pneumonia and offer information on smoking cessation classes. The healthcare provider can prescribe nicotine patches. Provide information on vaccines against pneumonia and influenza
4.Relationship of
1.What happens physiologically in fluid volume deficit situations; how do we best keep track of a patient’s fluid volume; consequences of dehydration Ch.13 iggy
-daily weights are the best indicators of fluid loss or gains pg.176
Cardiovascular- heart rate increases in attempt to maintain BP. Weak peripheral pulses pg.175
Skin changes-skin turgor poor, tenting, skin dry and scaly, dry mucus membranes( may be covered with a think sticky, pastelike coating), toungue may have deep furrows
Neurological changes- Alteration of mental status (especially confusion), might have a low grade fever
Kidney changes-urine maybe consentrated with a SG >1.030, and appere dark incolor and have anstrong odor.
Respiratory changes-increase respiratory rate as a way to maintain oxygen delivery when tisuue perfusion is decreased.
2.complications of influenza pg.645
-Influenza can lead to complications pneumonia or death
3.Tx of cap-Pg.652
Comminity acquired pneumonia (CAP) treatment include
Home health management-no special changes are need in the home. If patient has a second story the patient may prefer to stay on one floor because climbing stairs increases fatigue and dyspnea. Toileting needs can be met with a bedside commode. Teach patient to notify their health care provider if fever,chills, persistant cough, increasing fatigue recurs or if symptoms fail to resolve.Aq111
Home teaching-review all drugs with the patient and family and emphasize completing anti-infectives therapy. Teach patient dietary changes which include increasing proteins (protein bound drugs), smaller more frequent meals, and fluid intake to thin secretions if not contraindicated
Health care resources-inform patients who smoke that smoking is a risk factor for pneumonia and offer information on smoking cessation classes. The healthcare provider can prescribe nicotine patches. Provide information on vaccines against pneumonia and influenza
4.Relationship of