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Med Surge 2- RESP SYSTEM NOTES

Med Surge 2- RESP SYSTEM NOTES

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Published by lorrainenxumalo
Nursing Med Surg Final Study Guide
Nursing Med Surg Final Study Guide

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Categories:Types, School Work
Published by: lorrainenxumalo on Oct 05, 2009
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05/22/2012

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MED SURGE II: RESP SYSTEM
Normal osmolality = 275-295mosm/kg
Average water intake 2500cc
 Thirst main regulator of fluid intake
Kidneys: main regulator of fluid output ( Reninsystem, and ADH).
CRYSTALLOIDS= fluids with the same electrolyteconcentration as plasma. ( isotonic solutions:lactated ringers and Normal saline).
COLLOIDS= fluids used to expand plasma volumeand maintain blood pressure. * they remain in theintravascular space. ( albumin, dextran)
ELECTROLYTE LEVELS: major electrolyte in the ICF= K 3.5 – 5.0 mEq/L ; ECF= Na 135-145
 
MED SURGE II: RESP SYSTEM
ABG’S ( compansated ( ph is normal and the other two arenot), uncompansated (when either bicab, or CO2 areabnormal), partially compansated
ph = 7.35- 7.45 ( <7.35 = acidic>7.45 = alkaline)
paCO2: 35mmHG- 45mmHg (normal range)< 35mmHg= base> 45mmHg= acidic
HCO3 < 22 = acidic(22-26 range)>26 = metabolic
RESP ACIDOSIS PATHO: pneumonia, pneumothorax, chronicobstructive lung disease
RESP ALKALOSIS PATHO: anxiety, hyperthyroidism, PE, pain
MET ACIDOSIS: diarrhea, starvation, shock, kidney failure
MET ALKALOSIS: severe vomitting, gastric suction, excessblood
 
MED SURGE II: RESP SYSTEM
PLEURAL EFFUSION:-What is it? : accumulation of fluid in the pleuralspace. Linked to other diseases (CHF, pneumonia,cancer tumors, Pulmonary Embolism)-Patho: Transdative ( non inflammtory causes) e.gCHF and decreases in oncotic pressure.EXUDATIVE ( caused by inflammatory probs)-S/S: pleuratic pain on inspiration, asysmetric chetexpansion, dyspnea, SOB cause of theaccumulation of fluid, absent breath sounds,RESP ACIDOSIS.-Intervention: thoracentesis, chest tube drainage,cough and breathing exercise, splinting chest

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