Topexcelgrades

kidney purpose excretion of metabolic wastes urine formation acid-base balance regulation electrolyte regulation fluid regulation blood pressure regulation (RAAS) erythropoietin secretion and anemia regulation chloride range 96-106 Ischemic stroke and HTN tx HTN only if SBP>220 or DBP >140 unless had tPA then SBP: >185 or DBP >110 Normal BNP level <100 pg/mL positive hepatojugular reflex in setting of edema push and hold on right upper quadrant over liver if...

GFR, a good indication of renal function, equals about 180 liters/day or about 125 mL/minute and is a calculated number by many critical care team members to dose drugs. GFR is an excellent measure of current renal function. Renal assessment includes: a. Glomerular filtration rate (GFR) b. Creatinine c. Urine output for 24 hours d. All of the above d. All of the above The best measure of current renal function is to measure 24-hour urine formation, GFR and creatinine. These three focus on ...

Hypervolemia Causes Excessive fluid intake, retention of NA and water. Caused by stress response, steroid therapy, heart failure, liver failure, nephrotic syndrome, acute or chronic renal failure Hypervolemia presentation and treatments Tachycardia, high blood pressure, high filling pressures, weight gain, JVD, tachypnea, dyspnea, lethargy, disorientation, indications of pulmonary or cerebral edema, low hgb, low serum osmolality, decreasing bun with normal creatinine Managmenet: Monitor I&O, D...

One day following posterior spinal fusion surgery a 35 year old female suddenly exhibits restlessness, labored breathing and acute chest pain. Her heart rate is 122/min., she is afebrile, and exhibits slightly diminished breath sounds on the right side. The findings described above should lead the nurse to suspect that the patient has developed: A. A spontaneous pneumothorax B. A pulmonary embolus C. Aspiration pneumonia D. A pleural effusion B. A pulmonary embolus One day following poster...

A pt with history of taking gentamicin (Garamycin) is admitted with oliguria, confusion, lethargy, nausea and vomiting. Lab data are as follows BUN 26 Cr 1.6 Na 130 K 4.9 Calcium 7.8 Which of the following should the nurse suspect A. dehydration B. acute tubular necrosis C. GI infection D. chronic renal failure Correct Answer B. This pt has received a nephrotoxic agent, which puts the pt at risk for development of ATN. Lab data support this diagnosis with an elevated BUN, creatinine ...

Coronary artery perfusion is dependent upon: A. diastolic pressure B. systolic pressure C. afterload D. systemic vascular resistance (SVR) Correct Answers A. diastolic pressure Diastolic pressure in the aortic root is higher than left ventricular end-diastolic pressure (LVEDP), the pressure exerted on the ventricular muscle at the end of diastole when the ventricle is full. This enables blood to flow from a higher pressure through open arteries to a lower pressure, a pressure gradient known...

b. <50mg/dL A nurse in the emergency department assesses a patient with a hand laceration and notices that the patient smells strongly of alcohol. The patient is diabetic, irritable, and pale and reports headache. The nurse is waiting for laboratory results. What serum glucose level might the nurse expect to find? a. 50 to 60 mg/dL b. <50 mg/dL c. >1000 mg/dL d. 80 to 110 mg/dL d. "Administer intravenous (IV) fluids based on corrected sodium levels" and "Administer prescribed ...

Blood-sugar elevation in the critically ill adult is common. Which of the following mechanisms explain this increase in blood sugar in the non-diabetic patient? A. medications such as epinephrine B. shivering C. temperature elevation D. change in position Correct Answers A. medications such as epinephrine Epinephrine is a pure catecholamine. This activates the sympathetic nervous system thereby increasing blood sugar by the fight or flight mechanism. Shivering, temperature elevation and...

epoetin alfa anemia related to chronic kidney disease should be treated with ______________________. folic acid, Vitamin B12 Name two treatments for megaloblastic anemia. infection Glucose control (via insulin drip) in the post-CABG patient decreases the risk of ___________________. acidosis In acute oliguric kidney injury, hyperkalemia leads to ____________________. right Obstructive-sleep apnea patients are at risk for ________-sided heart failure. hydration Acute pancreatitis p...

Under the Fontaine classification for peripheral vascular disease, intermittent claudication occurs at: -Stage I -Stage II -Stage III -Stage IV Correct Answers Stage II Stage I disease (pathological arterial changes) produces no symptoms. Stage II is representative of a 75% occlusion and the patient will exhibit intermittent claudication. Stage III represents 90-95% occlusion and the patient will have pain at rest. Stage IV is a 99-100% occulsion that will result in necrosis if not treat...