RF/causes Flashcards

(34 cards)

1
Q

FVD

A

Vom, dia
Sweat
Suction
Bleeding
Low intake
Older
Burns
3rd spacing
DI
Adrenal insufficiency (Addison)

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2
Q

FVE

A

HF
Kidney (Cushing)
Cirrhosis
Too much salt
IVF

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3
Q

Hyponatremia

A

Vom, dia
Sweat
Diuretics
Adrenal insufficiency (Addison)
SIADH

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4
Q

Hypernatremia

A

Low water intake/dehydration
Too much salt
DI
Heatstroke

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5
Q

Hypokalemia

A

Meds (loops, roids)
Suction
GI loss
Adrenal tumor leading to hyperaldosteronism and Hypernatremia

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6
Q

Hyperkalemia

A

Renal failure/hypoaldosteronism/Hyponatremia
Older
Replacement
K sparing diuretics
Trauma (crushing)
Acidosis

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7
Q

Hypocalcemia

A

Low PTH
Osteoporosis
Pancreatitis
Alkalosis
Malabsorption
Transfusion of citrated blood
Kidney injury leading to Hyperphosphatemia
Low vitamin D
Low magnesium
Etoh
Immobile

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8
Q

Hypercalcemia

A

CA
Thiazide
High PTH
Bone loss immobility
Tums

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9
Q

Hypomagnesemia

A

Homeless- ETOH and starving
Low potassium, calcium, albumin
GI loss
Diuretics
Rapid citrate blood
Rapid refeed

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10
Q

Hypermagnesemia

A

Renal injury
DKA
IV replacement

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11
Q

Hypophosphatemia

A

Decreased GI absorption
Too much tums
ETOH WD
Rapid refeed
Heat stroke
Respiratory alkalosis
Burns
Diarrhea
DKA

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12
Q

Hyperphosphatemia

A

Kidney injury
Low calcium
High vitamin D
Acidosis

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13
Q

Hypochloremia

A

GI loss
Diuretics and laxatives
Low intake
Addison/adrenal insufficiency/hyponatremia
DKA
SIADH
Burns
Steroids

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14
Q

Hyperchloremia

A

Metabolic acidosis brought on by excessive administration of Cl- (NS, 1/2 NS, LR)
Hypernatremia
Low bicarbonate

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15
Q

Metabolic acidosis

A

DKA
Renal failure
ASA OD
Shock
Diarrhea, bile drainage

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16
Q

Metabolic alkalosis

A

GI loss (suction, vom, dia)
Cushing

17
Q

Respiratory acidosis

A

Opioid OD
Asthma
PNA
COPD
GBS, MS

18
Q

Respiratory alkalosis

A

Anxiety
Brain tumor leading to tachypnea
Sepsis leading to tachypnea

19
Q

Acute respiratory failure

A

Impaired CNS
OD
Head trauma
Infection
Hemorrhage
Sleep apnea

PC FED BRAHMS
PNA/p edema
COPD
Foreign body
Epiglottitis
Disorder of spine
Bronchitis
Respiratory depressant drugs
Asthma
Head injury
Meningitis
Severe cardiac failure

20
Q

Complications with MV

A

Alterations in cardiac function
Barotrauma and pneumothorax
Infection and sepsis
Delirium

21
Q

Pulmonary embolism

A

Trauma
Surgery
Pregnancy
Birth control / hormone replacement
HF
Hypercoagulability
Lower limb trauma
Travel
Stasis (bed bound, hypotension, afib, valve disorder, etc)

Virchow triad: endothelial damage, altered coagulation, and venous stasis

22
Q

Changes in older adults that make them susceptible to kidney injury

A

Sclerosis of renal and glomerulus
Decreased blood flow
Decreased GFR
Decreased renal reserve
Altered function and acid-base
Incomplete emptying, urine stasis
Decreased nerve function
Decrease drug clearance

23
Q

AKI

A

Hypovolemia
Hypotension
Reduced CO, HF
Obstruction

24
Q

CKD

A

DM and HTN
Nephrosclerosis
Chronic glomerulonephritis
Infections
Obstruction
Hereditary lesions
Vascular disorders
Meds/toxins
Obesity
Race

25
Nephrosclerosis
African American DM nephropathy HTN Aging
26
Atelectasis
Hypoventilation Obstruction (foreign or COPD) Compression (pneumothorax, hemothorax, pleural effusion) Post surg
27
What can cause vent alarm to go off for decreased pressure/volume
Leak- check the entire tubing
28
Nephrotic syndrome
Lupus DM Multiple myeloma Chronic glomerulonephritis Renal vein thrombus
29
When to MV (numbers)
PaO2 <55 PaCO2 >50 PH <7.32 VC <10 NIF <25 FEV <10
30
When to MV (CM)
Apnea Bradypnea Resp distress with confusion Increased WOB that can’t be helped Confusion and can’t protect airways Circulatory shock Controlled hyperventilation (head injury)
31
ADH released by the…
Pituitary gland
32
Aldosterone released by the…
Adrenal cortex
33
Steps of RAAS
Renin is secreted by kidneys after stimulated by low BP/pressure Renin converts angiotensinogen in liver into… Angio I, the ACE converts Angio I to… Angio II vasoconstricts and stimulates… Aldosterone released by adrenal Results in increased vol / BP
34
ARDS
Trauma Infection Prolonged cardio pulmonary bypass Shock Fat emboli Sepsis