NUR 3019 Adv Med surg Notes Unit 1 question and answers study guide 2023 latest

Adv. Medical surgical - Unit 1 LAB RANGES (NEED TO KNOW) o ALL ARE SUBJECT TO CHANGE BASED ON PROFESSOR BUT SHOULD BBE SIMILAR  Electrolytes o K+: 3.5-5 o Ca+: 8.6-10.2 o Na+: 135-145 o P: 2.5-4.5 o Cl: 98-106 o Mg: 1.8-3.0  Serums o Hgb  F:12-14  M:14-18 o Hct  F:37-47  M:42-52 o BUN: 10-20 o Creatinine: 0.6-1.2 o Albumin: 3.5-5.5g/dL o Direct bilirubin: 0-0.4 o INR  Without anticoagulants: 0.8-1.1  With anticoagulants (1.5-2x more than control value) o PT  Without anticoagulants: 11.0-12.5sec  With anticoagulants (1.5-2x more than control value) o Amylase: 23-85U/L o Lipase: 0-160U/L o AST: 10-40U/L o ALT:7-56/L  ABGS o PH 7.35-7.45 o PaCO2: 35-45 o HCO3: 22-26 Kidneys  Main functions: o Filter o Regulate PH o Acid-Base (HCO3) o Control Bp o Regulate Water o Erythropoietin o Urine o Excretes (100%) K+ o Reabsorbs Ca+ o Reabsorbs Na+ Monitor BUN (10-20) & Creatinine (0.6-1.2) levels = if these levels are within range, it indicates a healthy kidney.  Uncontrolled diabetes and hypertension with destroy the kidney.  ACI (Acute Kidney Injury) – Happens within a couple of hours or days. Usually caused by a primary cause and is reversable if identified and treated on time.  3 Types of ways to damage the kidney in an acute way o Pre-renal  This refers to issues caused outside o