WCU BSN week 8 quiz notes
WCU BSN week 8 quiz notes Nurs100
Miami Dade College
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This 3 page Class Notes was uploaded by priscila Notetaker on Tuesday October 4, 2016. The Class Notes belongs to Nurs100 at Miami Dade College taught by in Fall 2016. Since its upload, it has received 30 views. For similar materials see in NURSING at Miami Dade College.
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Date Created: 10/04/16
Chapter 46- Urine elimination Includes: Kidneys Ureters Bladder Urethras Urine characteristics: pH= 4.6-8.0 Protein= none or up to 8mg/100 ml Glucose= none Ketones= none Specific gravity- 1.010-1.030 RBC’s= up to 2 WBC’s= 0.4per low – power field Bacteria= None GFR- Glomerular Filtration rate: Best test to measure your level of kidney function and determine your stage of kidney disease. <15 kidney failure Dialysis for Renal failure patients No longer able to control urine Worsening in uremic syndrome Life debilitating Types of Urinary Incontinence Functional Stress Urge Overflow Hyperactive/overactive Expect to see a distended bladder in a pelvic examination UTI Caused by E. Coli Prevention: proper cleaning, adequate fluid intake, proper emptying Medications: pyridemia: given to relieve pain and discomfort Types of urinary diversion Ureterostomy- one or both ureters to abdominal cavity Nephrostomy- inserted into renal pelvis, exit through an incision on each flank, or there may be just one kidney. Assessment of I&O ratio Characteristics of urine Foley’s: make the bladders lazy inserted through surgical asepsis if the pt. complains of needing to void but there’s a catheter in place o assess for placement of Foley o assess pelvic area o assess for a clogged catheter o To collect sample clamp Foley and then connect syringe to port. Do Not collect from bag because it won’t be accurate Superpubic catheter is connected to the bladder. Used mainly for hysterectomy pt. Short term Chapter 42 Oxygenation Steps in Oxygenation Ventilation- moving gas into and out of lungs Perfusion- CV system pumps oxygenated blood to the tissue and return Diffusion Terminology Work of breathing- is the effort required to expand and contract the lungs. Healthy individuals have an effortless WOB. Surfactant- a chemical produced in the lungs to maintain the surface tension of the alveoli and keep them from collapsing Atelectasis- “collapsed lung”- collapse of the alveoli that prevents normal exchange of oxygen and carbon dioxide. Dyspnea- DIFFICULTY breathing Orthopnea- Difficulty breathing when lying down, patient must be in a 45 degree fowler’s position to be able to breathe. Hemoptysis- bloody sputum, associated with coughing and bleeding from the upper respiratory tract. Eupnea- normal respirations that are quiet, effortless, and rhythmical. Hypoxia-not enough oxygen at cellular level Hypoxemia- Arterial blood oxygen level less than 60 mm Hg; low oxygen level in the blood. Cardiac output: 4-6L blood ejected from left ventricle Stroke Volume: Amount of blood ejected from with each contract CO= SV+HR Left sided heart failure: Due to pulmonary disease and blood will back up into the lungs, sputum Right sided heart failure: Systemic disease; Clinical manifestations: edema, distended neck veins, peripheral edema. Conduction system: SA Node, AV node, bundle of his, right bundle of his, left bundle of his, purkinje fibers. SA node is the pace maker ****V-Tach leads to V-fib and the pt can go to cardiac arrest (asystole)
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