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1

signs and symptoms of heart attack in women

flue like symptoms

feelings of indigestion or heartburn

symptoms for a number of days

heartburn

2

Lab Values


Decreased HGB & HCT
Decreased Na
Decreased Serum Osmolality
Decreased BUN

Fluid Volume Excess

HYPERVOLEMIA

3

signs and symptoms of heart attack in men and women

heavy chest pain

cold and sweaty

pain in neck or left arm

nausea

sudden onset of symptoms

shortness of breath

more tired than usual

4

in fuid volume excess
urine specific gravity

decreased

5

Nuts, beans
Canned entrees
Frozen bread, meals
Smoked/cured/canned meat and poultry

are all rich in ______

Sodium

6

air in the pleural cavity, resulting in lung collapse

pneumothorax

7

in fuid volume defecit

urine specific gravity

increased

8

A
S
T
H
M
A

adrenergics (albuterol/beta 2)
steroids
theophylline
hydration - IV
mask- 02
anticholinergics

9

The nurse is caring for a client with heart failure who has received large doses of diuretic therapy. Assessment reveals flat neck veins, generalized muscle weakness, and fatigue. The nurse suspects hyponatremia, what other clinical manifestations would you anticipate?

a. Hyperactive bowel sounds
b. Increased thirst
c. Decreased urine output
d. Increased urine specific gravity

A

10

pneumothorax is diagnosed by what 2 things

chest xray
ABG's

13

The nurse assigned to a client with hyponatremia would conclude that which of the following factors probably contributed to this electrolyte imbalance. (Select all That Apply)

Diuretic therapy
Fever
Fluid retention
Excessive intravenous infusion of hypertonic fluid
Heart Failure
Nasogastric tube connected to low-intermittent suction.

1
3
5
6

14

Cough, marked dyspnea, tight feeling in chest

Wheezing

thick or sticky mucus

Hypoxia, tachycardia

Respiratory alkalosis/acidosis

Severe respiratory distress/ respiratory failure


are clinical manifestations of

asthma

15

in fuid volume excess
serum sodium is

below 135

16

causes

ruptured BLED

thoracentesis

trauma

secondary infection

pneumothorax

17

Caused by any condition decreasing serum calcium levels

Cirrhosis

Malnutrition

Lack of Vitamin D

Decreased production of PTH

Hypoparathyroidism

Hypocalcemia

18

contraction of facial muscles that occurs when lightly tapping the front of the ear at facial nerve

Chvostek sign-

19

type of IV Solution that

Examples:
0.9%NS
Lactated Ringers (LR)
D5W (note: D5W is the low end of isotonic, this can also be considered hypotonic)

Isotonic

21

-Oliguria, AKI, CRF,
-Glomerulonephritis


are at risk for _______

Fluid Volume Excess

23

Loss of water and electrolytes
OR
Isotonic Loss

Fluid Volume Deficit decrease in ECF

Hypovolemia

24

Secrete too much urine= ____kalemia

hypo

25

potential complications of hypertonic fluid

fluid volume defecit

shrinking cells

26

Urine specific gravity normal range

1.005-1.030

27

6 causes of Hypercalcemia

- Increased calcium intake
-Decreased kidney excretion
- Prolonged immobilization
- Hyperparathyroidism
- Decreased calcitonin
- Bone disease

29

with what IV fluid be cautious with

heart failure
kidney failure
liver disease

isotonic & hypertonic

30

interventions

Sit up
Oxygen
Nebulizer
Sputum culture
Antibiotics
Steroids

COPD

31

PULSE OX 89%
RESPIRATORY RATE 26
CRACKLES IN LUNGS
WEIGHT GAIN

is assesment data for _______

fluid volume excess

32

-Cirrhosis
-Heart Failure
-Primary hyperaldosteronism


are at risk for _______

Fluid Volume Excess

33

in fuid volume defecit

pulse strength

weak and thready

34

in fuid volume excess
RR

increased

35

Changes in___ segment reflect oxygenation of the heart

ST