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Exam (elaborations)

NSG 430 Exam II – Questions With Precise Solutions

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NSG 430 Exam II – Questions With Precise Solutions

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NSG 430 Exam II – Questions With Precise
Solutions

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Practice questions for this set


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VTach
Vfib
pericarditis



Choose an answer



What it acute decompensated heart
1 2 Symptoms of bradycardia
failure

, 3 What is acute kidney injury (AKI)? 4 STEMI can result in



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Terms in this set (96)



What it acute decompensated heart Exacerbation of chronic heart failure
failure


What are the clinical manifestations of Fluid overload, SOB, fatigue
acute decompensated heart failure


Symptoms of acute decompensated Jugular Vein Distension (JVD)
heart failure edema
dyspnea
orthopnea
paroxysmal nocturnal dyspnea
N/V
weight gain or loss
hepamegaly
pulmonary rales
cardiac gallops S3 or S4
pleural effusion


What can acute decompensated heart pulmonary edema
failure lead to


What is acute kidney injury (AKI)? - Abrupt reduction in renal function with elevated
BUN and creatinine and Cystatin C levels (biomarker
of kidney function).
- Usually associated with oliguria (<30 mL/hr or <400
mL/day)
- GFR decreases
- Can be reversed if diagnosed and treated early

, Types of AKI Prerenal
Intrarenal
Postrenal


Labs to diagnose AKI GFR
creatinine
electrolytes (particularly potassium)


Symptoms of AKI Fatigue, dizziness, swelling, decreased urine output
oliguria (<500 ml urine), azotemia (increased urea in
blood)


Interventions for AKI treat underlying cause of AKI
fluid restrictions


nutrition
-enteral nutrition (low sodium, low potassium, high
calcium)
-total parental nutrition (TPN)


medications
-diuretics
-calcium channel blockers *drug of choice to treat
AKI nephrotoxins*
-dose adjustment based on kidney function


What is acute tubular necrosis destruction of tubular epithelial cells with acute
suppression of renal function


poor blood flow to kidneys / poor oxygenation

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