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Terms in this set (123)
what are signs and symptoms of respiratory ex. being unable to be awakens, shallow respirations,
acidosis? diminished breath sounds, decreased LOC, hypoventilation,
respiratory failure
what are signs and symptoms of respiratory ex. hysterical, severe emotional distress, high BP/HR/RR, low
alkalosis? O2, clear lung sounds, hyperventilation, hypoxemia
what are signs and symptoms of metabolic can be caused by ketoacidosis, lactic acid accumulation
acidosis? (shock), severe diarrhea, kidney disease
ANION GAP
ex. feeling bad, fatigue, constant thirst, frequent urination,
rapid deep respirations, fruity breath odor, high blood
glucose
what are signs and symptoms of metabolic seen in someone with COPD
alkalosis?
ex. history of n/v, loss of gastric acid
what are the 4 types of hypersensitivity occur when the immune response is over active, reacting to
responses? examples? own tissue causing damage
type 1 IgE mediated
type 2 cytotoxic/cytolytic reactions
type 3 immune/complex reactions
type 4 delayed hypersensitivity responses
, what is type 1 IgE mediated hypersensitivity allergic response
response?
IgE antibodies bind with antigen and cause mast cell
degranulation
- localized: rash, vomiting
- systemic: throat closing
- anaphylaxis: systemic EMERGENCY
atopic reactions include asthma, allergic rhinitis, atopic
dermatitis, urticaria, angioedema
nursing care: prevent response (avoid), maintain airway,
administer administrations (epinephrine, antihistamines),
allergy shot to make IgG antibodies
what is type 2 cytotoxic and cytolytic involve IgG and IgM antibodies forming antigen-antibody
hypersensitivity reactions? complexes
activate complement system resulting in cytolysis or increased
phagocytosis
cause organ dysfunction
- transfusion reactions
- graves disease
what are type 3 immune complex antigen-antibody complexes settle into tissue causing
hypersensitivity reactions? activation of complement system and inflammatory response
autoimmune disorder including systemic lupus erythematosus,
rheymatoid arthritis, glomerulonephritis
what is type 4 delayed hypersensitivity cell mediated immune response sensitized T lymphocytes
responses? attack antigens or release cytokines
delayed: happens days later
- contact dermatitis
- transplant rejection
- TB skin test
what is a hypotonic solution example? the cell becomes bigger, draws water into the cell
solutions used to rehydrate cells:
ex. half normal saline, 0.33% sodium chloride
what is a hypertonic solution example? the cell becomes smaller, draws water out of the cell
solutions used to shift fluid into blood vessels and reduce
edema
ex. 3% saline, albumin, dextrose 5% in half normal
saline/normal saline/lactated ringers
what is an isotonic solution example? nothing happens to the cell
solutions used for hypotension related to hypovolemia
ex. lactated ringers solution, ringers, 0.9% normal saline,
dextrose 5% in water