NUR 631 Midterm Review
4 sec cap refill on a child, differential Dx? - ANS Shock
\ABG: pH 7.28 HCO3 28 CO2 60 - ANS Respiratory acidosis
\anaplasia - ANS loss of differentiation of cells; reversion to a more primitive cell type
can no longer show differentiation at a cellular level
\Brocca's area - ANS speech production/ language
\C3 injury primary assessment - ANS airway
\C4 injury - ANS breath no more
\Calcitonin - ANS push calcium into cells, Lowers blood calcium levels
\cancer linked to congenital malformation syndrome? - ANS Wilms tumor
\carcenoma - ANS malignant neoplasm of epithelial origin
abnormal epithelial proliferation
\cells that attack a parasitic invasion? - ANS eosinophils
\Child
pale, fatigued, fever, Petechiae
what do you order - ANS CBC - looking for infection or anemia
x-ray chest
renal function - RBC destruction
Bone marrow biopsy
\child burn pt, why do they have higher morbidity - ANS lower glycogen stores than
adults
\Child diagnosed with AIDS is at high risk of developing - ANS non Hodgkins lymphoma
\children in cariogenic shock shock - ANS spleen and liver enlarge
develop edema
due to decreased CO
blood pooling
venus congestion
\compliment system - ANS Group of about 30 proteins in blood plasma that complement
defense reactions and help attract phagocytes to foreign cells; can help promote lysis of
the foreign cell
\cure for microcytic hypo chromic anemia - ANS cord blood transplant
\Dawn phenomenon - ANS Early morning glucose elevation produced by the release of
growth hormone, which decreases peripheral uptake of glucose resulting in elevated
morning glucose levels. Admin of insulin at a later time in day will coordinate insulin
peak with the hormone release.
\depressed pts have decrease in which neurotransmitter binding? - ANS serotonin
, \differential diagnosis if complaints of no sleep? - ANS depression
\DKA w/ flu like symptoms are related with insulin deficiency by - ANS Infection causes
body into fight or flight
causes insulin resistance
uses fatty acids
metabolic acidosis
\effect of stress on immunity - ANS Increased cortisol
Helper T-cells are suppressed
\electrolyte concern with noncompliant diabetic w/ High BS - ANS K+
\electrolyte imbalance with lithium toxicity? - ANS low sodium
\Endotoxins - ANS A toxic component of the outer membrane of certain gram-negative
bacteria that is released only when the bacteria die.
\Epigenetics - ANS the study of environmental influences on gene expression that occur
without a DNA change
\Exotoxins - ANS toxic substances that bacteria secrete into their environment
\expected vitals in closed head injury? - ANS short term instability in vital signs then
back to normal
\first priority shock to treat? - ANS anaphylactic
\folic acid in prenatal is to prevent - ANS neural tube defects ( closes in week 4 of
gestation)
\G6PD deficiency - ANS Low NADPH leads to hemolytic anemia (free radicals) with bite
cells and heinz bodies
X-linked recessive
\Goal for treatment of pt in shock? - ANS increase CO
better supply than demand
\H&H 7.3 & 15 - ANS chronic bleeding- hypovolemic anemia
malabsorption of iron
malnutrition
\hemochromatosis - ANS excess iron deposits throughout the body
\hemosiderosis - ANS abnormal increase of iron in blood
a concern after multiple blood transfusions
\hormone that inhibits GH - ANS Somatostatin (SST)
\How do kids compensate for cariogenic shock? - ANS adrenergic response increasing
HR and CO
Vasoconstriction increasing BP
Splanchnic arteries- divert everything away from eremites to heart, kidneys and lungs
4 sec cap refill on a child, differential Dx? - ANS Shock
\ABG: pH 7.28 HCO3 28 CO2 60 - ANS Respiratory acidosis
\anaplasia - ANS loss of differentiation of cells; reversion to a more primitive cell type
can no longer show differentiation at a cellular level
\Brocca's area - ANS speech production/ language
\C3 injury primary assessment - ANS airway
\C4 injury - ANS breath no more
\Calcitonin - ANS push calcium into cells, Lowers blood calcium levels
\cancer linked to congenital malformation syndrome? - ANS Wilms tumor
\carcenoma - ANS malignant neoplasm of epithelial origin
abnormal epithelial proliferation
\cells that attack a parasitic invasion? - ANS eosinophils
\Child
pale, fatigued, fever, Petechiae
what do you order - ANS CBC - looking for infection or anemia
x-ray chest
renal function - RBC destruction
Bone marrow biopsy
\child burn pt, why do they have higher morbidity - ANS lower glycogen stores than
adults
\Child diagnosed with AIDS is at high risk of developing - ANS non Hodgkins lymphoma
\children in cariogenic shock shock - ANS spleen and liver enlarge
develop edema
due to decreased CO
blood pooling
venus congestion
\compliment system - ANS Group of about 30 proteins in blood plasma that complement
defense reactions and help attract phagocytes to foreign cells; can help promote lysis of
the foreign cell
\cure for microcytic hypo chromic anemia - ANS cord blood transplant
\Dawn phenomenon - ANS Early morning glucose elevation produced by the release of
growth hormone, which decreases peripheral uptake of glucose resulting in elevated
morning glucose levels. Admin of insulin at a later time in day will coordinate insulin
peak with the hormone release.
\depressed pts have decrease in which neurotransmitter binding? - ANS serotonin
, \differential diagnosis if complaints of no sleep? - ANS depression
\DKA w/ flu like symptoms are related with insulin deficiency by - ANS Infection causes
body into fight or flight
causes insulin resistance
uses fatty acids
metabolic acidosis
\effect of stress on immunity - ANS Increased cortisol
Helper T-cells are suppressed
\electrolyte concern with noncompliant diabetic w/ High BS - ANS K+
\electrolyte imbalance with lithium toxicity? - ANS low sodium
\Endotoxins - ANS A toxic component of the outer membrane of certain gram-negative
bacteria that is released only when the bacteria die.
\Epigenetics - ANS the study of environmental influences on gene expression that occur
without a DNA change
\Exotoxins - ANS toxic substances that bacteria secrete into their environment
\expected vitals in closed head injury? - ANS short term instability in vital signs then
back to normal
\first priority shock to treat? - ANS anaphylactic
\folic acid in prenatal is to prevent - ANS neural tube defects ( closes in week 4 of
gestation)
\G6PD deficiency - ANS Low NADPH leads to hemolytic anemia (free radicals) with bite
cells and heinz bodies
X-linked recessive
\Goal for treatment of pt in shock? - ANS increase CO
better supply than demand
\H&H 7.3 & 15 - ANS chronic bleeding- hypovolemic anemia
malabsorption of iron
malnutrition
\hemochromatosis - ANS excess iron deposits throughout the body
\hemosiderosis - ANS abnormal increase of iron in blood
a concern after multiple blood transfusions
\hormone that inhibits GH - ANS Somatostatin (SST)
\How do kids compensate for cariogenic shock? - ANS adrenergic response increasing
HR and CO
Vasoconstriction increasing BP
Splanchnic arteries- divert everything away from eremites to heart, kidneys and lungs
