ANSWERS | LATEST UPDATE 2024/2025 100%
(GRADE A+)
Normal Urine Output
Ans>> 40mL/hr (approximatley 1 Liter a day)
Intake exceeds output
Ans>> -weight gain
-electrolyte imbalance
-increased hemodynamic pressures
-decreased lung compliance
Central Venous Pressure (CVP)
Ans>> can indicate changes in fluid balance
Normal CVP
Ans>> 2-6mmHg or 4-12cmH20
1
,-decreased CVP can indicate hypovalemia (fluid therapy)
-increased CVP can indicate hypervalemia (diuretics)
Stuporous, confused , sleepy
Ans>> consider sleep apnea or excessive O2 therapy (COPD patient)
Semicomatose
Ans>> responds only to painful stimuli
Obtunded
Ans>> drowsy state, may have decreased cough or gag reflux (protect airway)
Coma
Ans>> does not respond to painful stimuli
Electrolyte Imbalance Traits
Ans>> anger, combative, irritable
2
,Drug Overdose Traits
Ans>> Euphoria-intense feelings of emotions (joy)
Panic Traits
Ans>> severe hypoxemia, tension pnemothorax, status asthmaticus, or possibly AAA (abdominal
aortic anerysm)
Activites of Daily Living (ADL) Scoring
Ans>> Katz Scoring System
0-dependent
6-independent
Orthopnea
Ans>> difficulty breathing except in the upright position (CHF)
Genreal malaise
3
, Ans>> run down feeling, nausea, weakness, fatique, headache (consider electrolyte imbalance)
COPD diet
Ans>> high fats, low carbs (carbs causes higher CO2)
Edema
Ans>> caused by CHF and renal failure
occurs primarily in arms and ankles
Ascites
Ans>> accumulation of fluid in the abdomen generally caused by liver failure
Clubbing of fingers
Ans>> caused by chronic hypoxemia
presence of clubbing suggests pulmonary disease
Venous distension or Jugular venous distension (JVD)
4