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Exam (elaborations)

Exam 2, MOD 3&4 NUR1460 questions and answers correctly explained.

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Exam 2, MOD 3&4 NUR1460 questions and answers correctly explained. Perfusion is? - correct answers.A normal physiologic process that requires the heart to generate sufficient cardiac output to transport blood through patent blood vessels for distrbution through out the tissue To assess peripheral vascular system check? - correct answers.Pulse points Hypoxmia is? - correct answers.Low levels of oxygen in the blood What is the physiological response of hypoxmia is? - correct answers.Increased heart rate Hypoxia is? - correct answers.Decreased tissue oxygenation Hypoxia leads to? - correct answers.Ischemia, can result in tissue necrosis Pulmonary ventilation is? - correct answers.Breathing What is the objective data for good ventilation? - correct answers.O2 SAT 95-100% Cap refill brisk Breathing without obvious effort Dyspnea is? - correct answers.Difficult or labored breathing, shortness of breath Dyspnea can cause? - correct answers.Confusion and altered LOC Sudden onset of dyspnea should be treated with oxygen when? - correct answers.Immediately What is the primary respiratory control center? - correct answers.The medulla oblongata What are the RBC for men and women? - correct answers.Men is 4.7 to 6.1 million cells per microliter Women is 4.2 to 5.4 million mcL What are the hemoglobin levels for men and women? - correct answers.Men is 13.5 to 17.5 grams per deciliter Women is 12.0 to 15.5 grams per deciliter ABG's pH level? - correct answers.7.35-7.45 PaCO2 normal range? - correct answers.35-45 HCO3 normal range? - correct answers.22-26 COPD is? - correct answers.Group of disorders characterized by impaired airflow in the lungs Emphysema is? - correct answers.An abnormal accumulation of air due to enlargement and destruction of the lungs many tiny air sacs, resulting in the formation of scar tissue Emphysema results in? - correct answers.Uncoordinated breathing pattern, loss of lung elasticity, hyperinflation of lung, dyspnea and air trapping Chronic bronchitis is? - correct answers.Inflammation of the bronchi and bronchioles which impairs airflow and gas exchange because mucus plugs and infection narrows the airways Chronic bronchitis results in? - correct answers.Decrease level of O2, leading to Hypoxemia/respiratory acidosis COPD Manifestations? - correct answers.Hypoxia/Hypoxemia Barrel-chest Increased dyspnea, fatigue Hepatomegaly Cyanotic hands, feet, and clubbing fingers Cyanotic lips, distended neck veins Use of accessory muscles to breath and sitting in tri-pod position Interventions for COPD? - correct answers.Maintain adequate hydration Humidified oxygen per nasal cannula 2-6 L/min Pursed lip breathing Vibrating positive expiratory pressure devices Nutritional considerations for COPD? - correct answers.Ensure rest before eating Avoid intake of fluids during meals Prevention of malnutrition Reduce gas-producing food Smaller more frequent meals Medications for COPD? - correct answers.Fluticason/salmeterol-Steroid (long acting beta agonists) Albuterol Sulfate-Bronchodilator (Beta 2 agonist Asthma is? - correct answers.Intermittent and reversible airflow obstruction affecting airways only, not alveoli Causes of asthma? - correct answers.Allergens, general irritants, microorganisms, asprin, hyperresponsiveness, URI, Unknown reasons Clinical manifestations of asthma? - correct answers.Wheezing, increased RR, increased cough, use of accessory muscles, barrel chest, long breathing cycles, cyanosis, hypoxemia, TACHYCARDIA Medications for asthma? - correct answers.Bronchodilators Anti-inflammatory agents The most frequent cause of hospitialization in children younger than 1 is? - correct answers.RSV Pneumonia is? - correct answers.Excess fluid in the lungs from an inflammatory process (reduces gas exchange) Empyema is? - correct answers.Collection of pus in the pleural cavity Priority of care for pneumonia? - correct answers.Airway maintenance Oxygenation Antibiotics Hydration Medications to treat pneumonia? - correct answers.Prendisone (anti-inflammatory) Furosemide (loop diuretic) PVD includes disorders that? - correct answers.Change the natural flow of blood through the arteries and veins of the peripheral circulation, causing decreased perfusion to body tissue. Causes of PVD? - correct answers.Atherosclerosis Partial or complete occlusion of veins/arteries Clinical manifestations of PVD? - correct answers.INERMITTENT CLAUDICATION Numbness of burning in affected extermity Loss of hair on lower leg-foot Mottled, dry, pale, dusky skin Thickened toe nails Raynaud's disease - correct answers.Affects hands Burger's disease - correct answers.Affects Lower limbs/feet

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